A paralisia laríngea congênita é uma anomalia rara da laringe caracterizada pela paralisia unilateral ou bilateral das cordas vocais em decorrência da disfunção do suprimento nervoso motor da laringe. Os pacientes apresentam-se tipicamente ao nascimento (ou logo após) com estridor, choro fraco ou sussurrado, disfonia ou afonia, dificuldades de alimentação ou aspiração e, ocasionalmente, comprometimento respiratório. Doenças neurológicas, massas que causam compressão e vasos aberrantes estão frequentemente associados. A maioria dos casos resolve-se espontaneamente ao longo de 6 a 12 meses.
Introdução
O que você precisa saber de cara
Visão geral
A paralisia laríngea congênita (também catalogada sob o código MONDO:0015316 e CID-10 J38.0) é uma anomalia rara da laringe caracterizada pela paralisia unilateral ou bilateral das cordas vocais, decorrente da disfunção do suprimento nervoso motor da laringe.[1]
A idade de início das manifestações clínicas é tipicamente neonatal, ocorrendo logo ao nascimento ou pouco tempo depois. Doenças neurológicas, massas que provocam compressão e vasos aberrantes estão frequentemente associados a essa condição.[1]
Sinais e sintomas
Os pacientes apresentam-se tipicamente com estridor, choro fraco ou sussurrado, disfonia ou afonia, além de dificuldades de alimentação ou aspiração e, ocasionalmente, comprometimento respiratório.[1]
Causas genéticas
Diagnóstico
Tratamento e manejo
No âmbito do Sistema Único de Saúde (SUS), a condição é classificada como sem cobertura específica em termos de procedimentos ou medicamentos dispensados diretamente em farmácia para este quadro clínico, não havendo decisões específicas registradas pela CONITEC.[1]
Tratamentos citados na literatura
Estes termos representam associações mineradas da literatura científica biomédica e não constituem recomendação clínica ou diretriz de tratamento: Carbon Dioxide (107 publicações), Polytetrafluoroethylene (81 publicações), Hyaluronic Acid (58 publicações), Steroids (58 publicações), Durapatite (27 publicações), Silicones (21 publicações), potassium titanylphosphate (19 publicações), Dexamethasone (17 publicações), Fluorodeoxyglucose F18 (10 publicações) e Methylprednisolone (9 publicações).[3]
Prognóstico e qualidade de vida
A maioria dos casos de paralisia laríngea congênita resolve-se espontaneamente ao longo de 6 a 12 meses.[1]
Conteúdo informativo gerado e mantido automaticamente a partir de fontes oficiais (Orphanet, HPO, OMIM, SUS). Não substitui avaliação médica.
A paralisia laríngea congênita é uma condição rara presente desde o nascimento em que uma ou ambas as cordas vocais do bebê não se movimentam adequadamente por falha nos nervos da laringe. A família costuma notar um ruído agudo ao respirar chamado estridor, choro muito fraco ou sem som e dificuldades durante a amamentação com risco de engasgos. Na maior parte dos casos, o quadro tem um prognóstico positivo e melhora espontaneamente entre os 6 e 12 meses de vida. Embora não conste na lista de PCDT oficial do SUS e não existam remédios específicos dispensados na rede pública, o recém-nascido deve receber acompanhamento nos serviços de saúde para garantir suporte à respiração e alimentação.
A paralisia laríngea congênita é uma anomalia rara da laringe caracterizada pela paralisia unilateral ou bilateral das cordas vocais em decorrência da disfunção do suprimento nervoso motor da laringe. Os pacientes apresentam-se tipicamente ao nascimento (ou logo após) com estridor, choro fraco ou sussurrado, disfonia ou afonia, dificuldades de alimentação ou aspiração e, ocasionalmente, comprometimento respiratório. Doenças neurológicas, massas que causam compressão e vasos aberrantes estão frequentemente associados. A maioria dos casos resolve-se espontaneamente ao longo de 6 a 12 meses.
Encontrou um erro ou informação desatualizada? Sugira uma correção →
Entender a doença
Do básico ao detalhe, leia no seu ritmo
Preparando trilha educativa...
Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Linha do tempo da pesquisa
Encontrou um erro ou informação desatualizada? Sugira uma correção →
Genética e causas
O que está alterado no DNA e como passa nas famílias
Nenhum gene associado encontrado
Os dados genéticos desta condição ainda estão sendo catalogados.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Paralisia laríngea, congênita
Centros de Referência SUS
24 centros habilitados pelo SUS para Paralisia laríngea, congênita
Centros para Paralisia laríngea, congênita
Detalhes dos centros
Hospital Universitário Prof. Edgard Santos (HUPES)
R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808
Serviço de Referência
Hospital Infantil Albert Sabin
R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital das Clínicas da UFG
Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424
Serviço de Referência
Hospital Universitário da UFJF
R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442
Atenção Especializada
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
Hospital Universitário Julio Müller (HUJM)
R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092
Atenção Especializada
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital Universitário Lauro Wanderley (HULW)
R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470
Atenção Especializada
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Hospital Pequeno Príncipe
R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805
Serviço de Referência
Hospital Universitário Regional de Maringá (HUM)
Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108
Atenção Especializada
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital Universitário Pedro Ernesto (HUPE-UERJ)
Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Hospital São Lucas da PUCRS
Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital Universitário da UFSC (HU-UFSC)
R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital de Base de São José do Rio Preto
Av. Brg. Faria Lima, 5544 - Vila Sao Jose, São José do Rio Preto - SP, 15090-000 · CNES 2079798
Atenção Especializada
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
UNIFESP / Hospital São Paulo
R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689
Serviço de Referência
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
Nerve injury and vocal cord paralysis after esophageal atresia and tracheoesophageal fistula repair: Systematic review and meta-analysis.
Vocal cord paralysis (VCP) and recurrent laryngeal nerve injury may be either congenital or acquired due to surgical trauma in patients with esophageal atresia and tracheoesophageal fistula (EA-TEF). A systematic review and meta-analysis were performed to define the risk factors for developing VCP and other nerve injuries. Systematic literature search was conducted for the period 2000 (Jan) to 2024 (Jan) under the PRISMA guidelines. The study protocol was registered on PROSPERO (CRD42024532277). EMBASE, MEDLINE and PUBMED databases were searched and qualitative and quantitative data were extracted relating to VCP, recurrent laryngeal and phrenic nerve injury in patients with EA-TEF. Statistical analysis was performed with CMA-V4 software. Among 1421 articles, 851 abstracts were screened for inclusion criteria. Full texts of 125 articles were assessed for eligibility. The subgroup analysis was performed in 8 articles for type of EA-TEF and 4 articles for type of surgery. The risk of VCP occurrence was increased 1.58 times in Type-A, 2.97 times in Type-B and 6.85 times in Type -E when compared to Type-C EA [95%CI: (0.95-2.63, p = 0.08), (0.96-9.17, p = 0.059), (3.23-14.52, p < 0,05), respectively]. There was no significant correlation between thoracotomy and thoracoscopy to risk of VCP occurrence [OR:1.85 (95 % CI 0.42-8.04), p = 0.41]. Kendal's Tau test and Egger's tests were performed revealing that there was no publication bias for all data. Although the risk of vocal cord paralysis was higher in other EA types compared to type C, a statistically significant difference was observed only between type C and type E. The surgical approach, whether thoracotomy or thoracoscopic, does not appear to be associated with the risk of vocal cord paralysis.
Analysis of Factors Influencing Voice Outcome in Unilateral Vocal Fold Paresis and Paralysis.
To explore factors influencing voice outcome in patients with unilateral vocal fold paresis and paralysis (UVFP). A total of 578 patients diagnosed with UVFP by laryngeal electromyography and follow-up were included, including 286 males and 292 females, with an average age of (43.18 ± 14.65) years (13-80 years). According to follow-up analysis, the patients were divided into a vocal improvement group (VIG) and a vocal nonimprovement group (VNG), and the differences in etiology, nerve injury type (recurrent laryngeal nerve [RLN] alone or with superior laryngeal nerve [SLN] injury) and degree (incomplete or complete RLN injury) between the two groups were compared. There were 232 patients in the VIG and 346 patients in the VNG. In the VIG, 121 patients (52.16%) had idiopathic vocal fold paresis or paralysis, with a significantly higher proportion than the VNG (41.62%, p = 0.013). Patients with tumor compression, radiotherapy, or congenital factors only presented in the VNG, and there was no significant difference in the proportion of patients with different injury sites between the two groups. There was no significant difference in proportions of RLN injury and RLN+SLN injury between the two groups (p = 0.98). In the VIG, 168 patients (72.41%) had complete RLN injury, which was lower than the VNG (79.77%, p = 0.04). The specific injury types in thyroarytenoid muscles (TA) showed no differences between the two groups. But in posterior cricoarytenoid muscles (PCA) of the VIG, the proportion of decreased recruitment pattern combined with synkinesis was significantly reduced (p < 0.01). Idiopathic UVFP has a greater possibility of vocal improvement, while least possibilities were seen in those with tumor compression, radiotherapy, and congenital factors. Complete RLN injury is not conducive to vocal improvement, of which the PCA injury is more evident than TA muscle and PCA synkinesis may be a greater risk factor.
A case report of tracheal duplication cyst with steatocystomatous histology: a rare embryological overlap.
Tracheal duplication cysts (TDCs) are rare congenital anomalies caused by defects in the duplication of the foregut, that is of endodermal origin. These cysts are usually present during childhood and cases in adults are seen very rarely. Steatocystoma multiplex is a disorder of multiple sebaceous cysts, most commonly from skin appendages, that has ectodermal origin. The presence of the two coexisting in the same place has never been reported in literature. We report the first case of a unique embryological overlap between ectoderm and endoderm in a TDC. A 34-year-old Indian male presented with progressive hoarseness and a change in voice. Laryngoscopy revealed left vocal cord paralysis. MRI of the neck done later showed a 3 cm cystic mass in the left tracheoesophageal groove, which was compressing the left recurrent laryngeal nerve. It was surgically excised, and the histopathology revealed a cyst lined by cuboidal epithelium with numerous sebaceous gland nests consistent with steatocystoma multiplex. These findings confirmed a tracheal duplication cyst with unique ectodermal differentiation in this patient. Our case stands out for its first-of-its-kind embryological overlap and also for its surgical management. The lack of respiratory epithelium and the presence of sebaceous glands (ectodermal) within a TDC (endodermal) suggest a misdirected embryologic development of the foregut. Dermoid, teratoma, branchial cleft cysts, laryngeal cysts, and malignancy were ruled out. Even though these cysts are benign, they may cause airway obstruction, vocal cord palsy, or other associated compressive symptoms. The treatment of choice for these cysts is en bloc removal, because incomplete excision has been reported to have increased recurrence. Although malignant transformation is rare, histopathological examination is required to rule it out. This is the first reported case of a tracheal duplication cyst with steatocystoma-like histology. It identified the need to consider rare embryologic overlaps while evaluating neck cysts and highlights the importance of thorough histopathological examination for better diagnosis and management.
Diagnostic accuracy of laryngeal ultrasound in the evaluation of stridor at a tertiary care pediatric center in India.
Pediatric airway assessment with endoscopy puts forth certain challenges. Laryngeal Ultrasound (LUS) is a non-invasive imaging modality that enables evaluation of laryngeal dynamics. This study aims to assess the clinical utility and diagnostic accuracy of LUS in diagnosing pediatric stridor by comparing its findings with endoscopic assessment. This prospective blinded cohort study included patients aged between 0 and 17 years, presenting with stridor. Those previously diagnosed were excluded. All patients were subjected to a Laryngeal Ultrasound followed by a Microlaryngoscopy and Bronchoscopy (MLB). Sensitivity, specificity, and positive and negative predictive values for LUS were calculated compared to the gold standard. We describe 26 patients with stridor, with a median age of 4 months. LUS was able to correctly identify 21/26 cases (80.76 %), with the most common cause being laryngomalacia in 11/26 cases (42.3 %). Other pathologies identified were subglottic stenosis, vocal fold palsies, vallecular cysts, and glottic masses (papilloma). The overall diagnostic accuracy of laryngeal ultrasound in identifying the cause of pediatric stridor was calculated and sensitivity was found to be 78.26 % (95 % CI: 56.3-92.54 %), specificity 100 % (95 % CI: 29.24-100 %), positive predictive value 100 % (95 % CI: 81.47-100 %) and negative predictive value 37.5 % (95 % CI: 21.65-56.58 %). Laryngeal Ultrasound can increasingly be used as a first-line, non-invasive airway assessment tool that can be repeated at the bedside for screening purposes. Our study found a high specificity and positive predictive value for Laryngeal Ultrasound in diagnosing Pediatric stridor. Its routine use to assess the pediatric larynx could potentially help in the selection of stridulous children for MLB.
Unilateral Vocal Cord Paralysis Caused by Cervical Esophageal Duplication Cyst Containing a Foreign Body: A Case Report.
Cervical esophageal duplication is a rare congenital anomaly that occasionally causes compressive symptoms. Herein, we present a unique case of unilateral vocal cord paralysis caused by a cervical esophageal duplication cyst with a granuloma containing a foreign body. A 10-year-old boy presented with a 1.5-month history of hoarseness and choking. Laryngoscopy revealed left vocal cord paralysis, and CT revealed a mass near the inferior pole of the left thyroid lobe. Fine-needle aspiration cytology revealed no evidence of malignancy. Ultrasonography and MRI findings suggested an esophageal duplication cyst with an inflammatory granuloma. Antibiotic therapy was ineffective, and a surgical approach was considered. The esophageal duplication cyst was resected through a collar incision, and a film-like foreign body with granulation tissue was extracted from the abscess. The recurrent laryngeal nerve was preserved, and the vocal cord function improved within 2 months. This case highlights the unusual presentation of an inflamed cervical esophageal duplication cyst with an embedded foreign body, which resulted in recurrent laryngeal nerve impairment and subsequent unilateral vocal cord paralysis. Early surgical intervention with careful nerve preservation can result in a functional recovery.
Publicações recentes
Cries, Stridor, and Clues: Unmasking a Rare Airway Obstruction in an Infant.
ASXL3 gene variants causing Bainbridge-Ropers syndrome: clinical and genetic analysis of four Chinese patients.
3D-printed EXOs/BMSCs composite hydrogel scaffolds for thyroid cartilage defect repair.
[Clinical and genetic characteristics of X-linked intellectual disability associated with HUWE1 gene variants].
Management of congenital laryngeal webs in young children: a clinical study of 22 cases.
📚 EuropePMCmostrando 109
Analysis of Factors Influencing Voice Outcome in Unilateral Vocal Fold Paresis and Paralysis.
World journal of otorhinolaryngology - head and neck surgeryA case report of tracheal duplication cyst with steatocystomatous histology: a rare embryological overlap.
BMC surgeryNerve injury and vocal cord paralysis after esophageal atresia and tracheoesophageal fistula repair: Systematic review and meta-analysis.
Journal of pediatric surgeryDiagnostic accuracy of laryngeal ultrasound in the evaluation of stridor at a tertiary care pediatric center in India.
International journal of pediatric otorhinolaryngologyUnilateral Vocal Cord Paralysis Caused by Cervical Esophageal Duplication Cyst Containing a Foreign Body: A Case Report.
Surgical case reportsIs there a role for whole genome sequencing in idiopathic vocal fold immobility?
International journal of pediatric otorhinolaryngologyBilateral vocal fold paralysis after cardiac surgery managed with anterior-posterior cricoid split.
The Journal of laryngology and otologyOutcomes of laryngeal surgery in children with congenital laryngomalacia and neurological and neurodevelopmental comorbidities - A NSQIP analysis.
International journal of pediatric otorhinolaryngologyEndoscopic Anteroposterior Cricoid Split in Idiopathic Bilateral Vocal Fold Immobility in Newborns: A Consecutive Case Series.
The LaryngoscopeIs Outpatient Supraglottoplasty Possible? Examination of Perioperative Comorbidities and Outcomes.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck SurgerySurgical Treatments of Pediatric Bilateral Vocal Fold Paralysis: A Systematic Review.
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialeNeurophysiological Assessment in Children with Vocal Fold Paralysis: A Tertiary Center Experience.
The LaryngoscopeOrtner's syndrome due to aneurysmal dilatation of the left pulmonary artery secondary to mixed pulmonary valve disease.
BMJ case reportsThe anatomic repair of recurrent aortic arch obstruction in children and adolescents.
JTCVS openManagement of Pediatric Bilateral Vocal Fold Paralysis: A State-of-the-Art Review of Etiologies, Diagnosis, and Treatments.
Children (Basel, Switzerland)Strategies for CO2 Laser Use in Laryngeal Microsurgery: A Systematic Review.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck SurgeryLaryngeal Structural Dysphagia in Children.
Otolaryngologic clinics of North AmericaGiving Voice to Cardiovocal Syndrome: A 26-Year-Old Woman With Hypophonia and Dysphagia.
CureusClinical Prognosis of Vocal Cord Paralysis After Cardiothoracic Surgery in Infants.
Pediatric cardiologyVocal Cord Paralysis after Repair of Esophageal Atresia.
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur KinderchirurgieA case report of the rare non recurrent laryngeal nerve in a resource limited setting: The first Ethiopian documentation.
International journal of surgery case reportsUltrasound Screening After Cardiac Surgery Shows Vocal Fold Impairment and Predicts Aspiration.
The LaryngoscopeUnilateral sublingual nerve paralysis after laryngeal mask airway in a patient with congenital heart disease: a case report.
The Journal of international medical researchA Unique Cause of Upper Airway Obstruction in a Child: Laryngeal Lipoma.
Turkish archives of otorhinolaryngologyNeonatal stridor presents at home - vocal fold paralysis as rare presenting feature of CHARGE syndrome.
Case reports in perinatal medicineSafety and effectiveness of vocal fold injection laryngoplasty in infants less than one year of age.
International journal of pediatric otorhinolaryngology[Clinical application of modified fistulectomy in the treatment of congenital pyriform sinus fistula based on segmental anatomy of fistula].
Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgeryKommerell's diverticulum: an unusual cause of unilateral vocal cord palsy?
Annals of the Royal College of Surgeons of EnglandA safe and effective surgical method for complex pyriform sinus fistula.
Laryngoscope investigative otolaryngologyThe clinical application of flexible bronchoscopy in a neonatal intensive care unit.
Frontiers in pediatricsGenome Wide Association Study with Imputed Whole Genome Sequence Data Identifies a 431 kb Risk Haplotype on CFA18 for Congenital Laryngeal Paralysis in Alaskan Sled Dogs.
GenesStridor caused by duplication cyst in a female infant and temporary vocal cord paralysis. A case report.
International journal of surgery case reportsLaryngeal electromyography, a useful tool in difficult cases of pediatric laryngeal mobility disorders.
International journal of pediatric otorhinolaryngologyOrtner's Syndrome in an Infant With Congenital Heart Disease.
Journal of medical casesSuture lateralization in congenital bilateral vocal cord immobility in neonates and infants: A hybrid approach.
International journal of pediatric otorhinolaryngologyLaryngeal pathologies in dysphonic children with Down Syndrome.
International journal of pediatric otorhinolaryngologyThe changing face of paediatric airway endoscopic surgery: An 8-year single surgeon review.
International journal of pediatric otorhinolaryngologyThe incidence of recurrent laryngeal nerve injury resulting in vocal cord paralysis following interventional congenital catheterisation procedures.
Cardiology in the youngXq27.1 palindrome mediated interchromosomal insertion likely causes familial congenital bilateral laryngeal abductor paralysis (Plott syndrome).
Journal of human geneticsOpen paediatric laryngotracheal reconstruction: a five-year experience at a tertiary referral centre.
The Journal of laryngology and otology[Upper Airway Obstruction in a Type 4 Laryngeal Palmar in Infant].
Le Mali medical[Innovative surgical solutions for laryngeal stenoses in newborns and infants].
Orvosi hetilapEvaluating dysphagia in infants with congenital heart disease using Fiberoptic Endoscopic Evaluation of Swallowing.
International journal of pediatric otorhinolaryngologySlide Tracheoplasty for Repair of Complex Tracheoesophageal Fistulas.
The LaryngoscopeIncidence and Recovery of Vocal Fold Immobility Following Pediatric Cardiac Operations.
World journal for pediatric & congenital heart surgeryThe utility of handheld ultrasound as a point-of-care screening tool to assess vocal fold impairment following congenital heart surgery.
International journal of pediatric otorhinolaryngologyEfficiency and Safety of Patent Ductus Arteriosus Surgical Ligation in Extremely Low Birth Weight Infants Without Chest Tube Placement.
Journal of pediatric intensive careCongenital airway anomalies.
Seminars in pediatric surgeryThird branchial cleft cyst as a cause of hoarseness: a case report.
The Journal of international medical researchCarotid Endarterectomy for a Patient with a Right-sided Aortic Arch and Aberrant Left Subclavian Artery Predicting a Left Non-recurrent Inferior Laryngeal Nerve: A Case Report and Literature Review.
NMC case report journalClinical and Financial Outcomes Associated With Vocal Fold Paralysis in Congenital Cardiac Surgery.
Journal of cardiothoracic and vascular anesthesiaDiagnostic and management strategies for congenital H-type tracheoesophageal fistula: a systematic review.
Pediatric surgery internationalFactors associated to functional recovery of left vocal fold motion impairment at two-years-old age in very preterm infants.
International journal of pediatric otorhinolaryngologyA CNTNAP1 Missense Variant Is Associated with Canine Laryngeal Paralysis and Polyneuropathy.
GenesCardiovascular Hoarseness (Ortner's Syndrome): A Pictorial Review.
Current problems in diagnostic radiologyOrtner's Syndrome as a Presenting Feature of Congenital Heart Disease in Infants.
Heart views : the official journal of the Gulf Heart AssociationSurgical Management of Bilateral Vocal Fold Paralysis in Children: A Systematic Review and Meta-analysis.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck SurgeryThe usefulness of intraoperative neurological monitoring for esophageal cancer with double aortic arch; a case report.
BMC surgery[Congenital laryngeal paralysis in children].
Vestnik otorinolaringologiiBilateral Selective Laryngeal Reinnervation for Bilateral Vocal Fold Paralysis in Children.
JAMA otolaryngology-- head & neck surgeryEndoscopic Preoperative Assessment, Classification of Stenosis, Decision-Making.
Frontiers in pediatricsLeft recurrent laryngeal nerve palsy following aortic arch stenting: A case report.
World journal of cardiologyEsophagectomy for Esophageal Cancer in a Patient with Left Pulmonary Artery Sling.
Annals of surgical oncologyKommerell's diverticulum: rare cause of unilateral vocal cord palsy.
BMJ case reportsOrofacial motor dysfunction in Moebius syndrome.
Developmental medicine and child neurologyCurrent Epidemiology of Vocal Cord Dysfunction After Congenital Heart Surgery in Young Infants.
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care SocietiesPrognosis of congenital idiopathic abductor laryngeal paralysis with laryngeal electromyography.
The LaryngoscopeSurgical and therapeutic advances in the management of voice problems in children and young people.
Current opinion in otolaryngology & head and neck surgeryRepair of type IV laryngotracheoesophageal cleft (LTEC) on ECMO.
Pediatric surgery internationalEndoscopic arytenoid abduction lateropexy for the treatment of neonatal bilateral vocal cord paralysis - Long-term results.
International journal of pediatric otorhinolaryngologyVocal cord immobility as a cause of aphonia in a child with 3p13p12 deletion syndrome encompassing FOXP1 gene.
International journal of pediatric otorhinolaryngology[Clinical evaluation of vocal fold paralysis in 207 children].
Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgeryMedialization Laryngoplasty in Pediatric Patients With Unilateral Vocal Fold Immobility: A Case Series.
The Annals of otology, rhinology, and laryngologyEmploying bioabsorbable grafts in two-stage laryngotracheal reconstruction of pediatric patient with severe subglottic stenosis and history of airway surgery.
International journal of pediatric otorhinolaryngologyCommon causes of congenital stridor in infants.
JAAPA : official journal of the American Academy of Physician AssistantsCongenital laryngeal paralysis in Alaskan Huskies: 25 cases (2009-2014).
Journal of the American Veterinary Medical AssociationRevealing the needs of children with tracheostomies.
European annals of otorhinolaryngology, head and neck diseases[Phoniatric outcomes of endoscopic arytenoid abduction lateropexy in patients with transient bilateral vocal cord paralysis].
Orvosi hetilapAirway evaluation in children with single ventricle cardiac physiology.
International journal of pediatric otorhinolaryngologyFamilial impairment of vocal cord mobility in childhood with clubfoot.
Clinical dysmorphologyPediatric Asthma Masqueraders.
The journal of allergy and clinical immunology. In practiceCongenital and iatrogenic laryngeal and vocal abnormalities in patients with 22q11.2 deletion.
International journal of pediatric otorhinolaryngologyDysfunction of NaV1.4, a skeletal muscle voltage-gated sodium channel, in sudden infant death syndrome: a case-control study.
Lancet (London, England)Analysis of Vocal Fold Motion Impairment in Neonates Undergoing Congenital Heart Surgery.
JAMA otolaryngology-- head & neck surgeryRisk Factors for Gastrostomy Tube Placement in Single Ventricle Patients Following The Norwood Procedure.
Seminars in thoracic and cardiovascular surgeryCervicothoracoscopic Approach for Esophageal Cancer in a Patient with Right-Sided Aortic Arch.
Annals of surgical oncologyBranchial anomalies in children: A report of 105 surgical cases.
International journal of pediatric otorhinolaryngologySilent aspiration: Who is at risk?
The LaryngoscopeNeonatal Stridor in Familial Congenital Laryngeal Paralysis (Plott Syndrome): A Case Study in an Omani Family.
Oman medical journalVocal Fold Immobility due to Birth Trauma: A Systematic Review and Pooled Analysis.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck SurgeryRecurrent Laryngeal Nerve Injury and Swallowing Dysfunction in Neonatal Aortic Arch Repair.
The Annals of thoracic surgeryA novel variation of the recurrent laryngeal nerve.
BMC surgeryNew trends in rehabilitation of children with ENT disorders.
Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-faccialeCongenital H-type tracheoesophageal fistula: A multicenter review of outcomes in a rare disease.
Journal of pediatric surgeryAetiological profile of paediatric stridor in a Malaysian tertiary hospital.
Malaysian family physician : the official journal of the Academy of Family Physicians of MalaysiaTransoral robotic surgery for the pediatric head and neck surgeries.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck SurgeryLaryngomalacia: Our Clinical Experience.
Turkish archives of otorhinolaryngologyTracheostomy Among Infants With Hypoplastic Left Heart Syndrome Undergoing Cardiac Operations: A Multicenter Analysis.
The Annals of thoracic surgeryA new solution for neonatal bilateral vocal cord paralysis: Endoscopic arytenoid abduction lateropexy.
The LaryngoscopeLaryngeal ultrasound and vocal fold movement in the pediatric cardiovascular intensive care unit.
The LaryngoscopeCongenital H-type tracheoesophageal fistula: a national multicenter study.
Pediatric surgery internationalOutcomes of recurrent laryngeal nerve injury following congenital heart surgery: A contemporary experience.
Journal of the Saudi Heart AssociationMicrotrapdoor Flap Technique for Treatment of Glottic Laryngeal Stenosis: Experience With 34 Cases.
Journal of voice : official journal of the Voice FoundationSurgical and nonsurgical management of patent ductus arteriosus in cats: 28 cases (1991-2012).
Journal of the American Veterinary Medical AssociationManaging dysphonia in paediatric patients with complex airway conditions.
The Journal of laryngology and otologyJS-X syndrome: A multiple congenital malformation with vocal cord paralysis, ear deformity, hearing loss, shoulder musculature underdevelopment, and X-linked recessive inheritance.
International journal of pediatric otorhinolaryngologyDuctus arteriosus aneurysm and vocal cord paralysis.
CirculationFamilial congenital bilateral vocal fold paralysis: a novel gene translocation.
International journal of pediatric otorhinolaryngologySpontaneous recovery of bilateral congenital idiopathic laryngeal paralysis: systematic non-meta-analytical review.
International journal of pediatric otorhinolaryngologyAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
Ainda não temos associações cadastradas para Paralisia laríngea, congênita.
É de uma associação que acompanha esta doença? Fale com a gente →
Doenças relacionadas
Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico
Ainda não achamos doenças com sintomas parecidos o suficiente.
Perguntas frequentes
O que as famílias mais perguntam sobre esta doença — cada resposta com a fonte de onde saiu
Trata-se de uma anomalia rara da laringe presente desde o nascimento provocada pela disfunção dos nervos que controlam as pregas vocais. Pode afetar apenas um dos lados ou ambos, alterando a emissão da voz e a respiração do recém-nascido.
Referências
Fontes citadas no texto, publicações do grafo e bases de dados usadas neste verbete
4 fontes citadas no texto · 10 publicações do grafo RarasNet (PubMed) · 4 bases de dados. Títulos, periódicos e PMIDs vêm direto da fonte, sem intermediação de IA.
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Citar este verbete
Raras. (2026). Paralisia laríngea, congênita. Em Raras — Enciclopédia de Doenças Raras do Brasil. https://raras.org/doenca/paralisia-laringea-congenita
Formato APA. Conteúdo sob CC BY 4.0 — reuso livre com atribuição.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
Paralisia laríngea, congênita
📋 Origem dos dados
Esta página agrega dados de fontes públicas e oficiais. Dados sobre cobertura no SUS (PCDT, CEAF) são verificados ativamente por agente proativo (ver badge no infobox). Demais dados têm atribuição de fonte + data da última sincronização — clique para abrir o original.
- Doença rara (ontologia)
- fonte: Orphanet
- Identificador unificado
- fonte: MONDO
- Codificação WHO/SUS
- fonte: WHO ICD-10 / DATASUS
- CID-11 (futuro)
- fonte: WHO ICD-11
- NIH/GARD
- fonte: GARD (NIH)
- Dado público estruturado
- fonte: Wikidata
