Congenital bilateral adductor vocal cord paralysis

Ann Otol Rhinol Laryngol. 2003 Sep;112(9 Pt 1):764-7. doi: 10.1177/000348940311200904.


Bilateral adductor vocal cord paralysis (BAdP), presenting with features of laryngeal incompetence, is a rare form of congenital bilateral vocal cord paralysis, and only 2 small series of BAdP have previously been published. Three cases are reported here. The BAdP occurred as an isolated abnormality in 1 child, and was associated with a recognizable syndrome (Robinow's syndrome and 22q deletion) in the other 2 children. Gastrostomy tube feeding was required in 2 children, who both remain gastrostomy tube-dependent at 26 months and 10 years 9 months of age. The child with Robinow's syndrome received parenteral nutrition until 2 months, but was then able to feed orally after partial improvement in vocal cord function. The global impairment in vocal cord constrictor function observed in these 3 children is consistent with the site of lesion's being at the level of the laryngeal constrictor motoneurons in BAdP.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chromosomes, Human, Pair 22* / genetics*
  • Craniofacial Abnormalities / complications*
  • Dwarfism / complications*
  • Enteral Nutrition
  • Female
  • Gastrostomy
  • Gene Deletion*
  • Humans
  • Infant, Newborn
  • Laryngeal Diseases / etiology
  • Male
  • Parenteral Nutrition
  • Retrospective Studies
  • Syndrome
  • Vocal Cord Paralysis / complications*
  • Vocal Cord Paralysis / genetics*
  • Vocal Cord Paralysis / therapy