Outcomes of recurrent laryngeal nerve injury following congenital heart surgery: A contemporary experience

Journal of the Saudi Heart Association
Fahad A AlfaresDilip S Nath

Abstract

Injury to the recurrent laryngeal nerve can lead to significant morbidity during congenital cardiac surgery. The objective is to expand on the limited understanding of the severity and recovery of this iatrogenic condition. A six-year retrospective review of all congenital heart operations at a single institution from January 1, 2008 to December 31, 2013 was performed. All patients with documented vocal cord paralysis on laryngoscopic examination comprised the study cohort. Evaluation of time to vocal cord recovery and need for further surgical intervention was the primary focus. The incidence of post-operative vocal cord paralysis was 1.1% (32 out of 3036 patients; 95% confidence interval: 0.7-1.5%). The majority were left-sided injuries (71%). Overall rate of recovery was 61% with a median time of 10 months in those who recovered, and a total follow up of 46 months. Due to feeding complications, 45% of patients required gastrostomy tube after the injury, and these patients were found to have longer duration of post-operative days of intubation (median 10 vs. 5 days, p = 0.03), ICU length of stay (50 vs. 8 days, p = 0.002), and hospital length of stay (92 vs. 41 days, p = 0.01). No pre-operative variables were identified as pr...Continue Reading

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Citations

Oct 23, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Monish S RautSujay Shad
Jan 12, 2017·The Annals of Otology, Rhinology, and Laryngology·Reema Padia, Marshall E Smith
May 3, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Andrew J MatisoffBrian K Reilly
Oct 26, 2018·The Laryngoscope·Caitlin BertelsenChristian Hochstim
Jun 28, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Siddharth C GorantlaSusan L Bratton
Jul 26, 2019·Pediatric Cardiology·James E B RaulstonJeffrey A Alten
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Sep 11, 2020·International Journal of Pediatric Otorhinolaryngology·Anthony LambertAlan T Cheng
Apr 6, 2021·Cardiology in the Young·Aditi SinhaAmer Harky
Jul 20, 2021·World Journal for Pediatric & Congenital Heart Surgery·Jennifer M BarrAshok Muralidaran

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