Vocal cord paralysis in infants and children

Vocal cord paralysis is the second most common cause of neonatal strider. R ecognition of laryngeal paralysis warrants further evaluation for an underl ying etiology as it is frequently a manifestation of a multisystem anomaly. Initial intervention must concentrate on airway stabilization and treatmen t of any underlying conditions. Management strategies should be individuali zed and focus on maintenance of a safe and stable airway, acquisition of in telligible speech, and deglutition without aspiration.