TREATMENT OF PARADOXICAL VOCAL FOLD MOTION IN A 12-YEAR-OLD PATIENT WITH PATAU’S SYNDROME

Abstract

We describe the case of a 12-year-old girl with paradoxical vocal fold motion (PVFM) secondary to partial Patau’s syndrome, successfully treated with botulinum toxin A (BTX-A) injection to the vocal folds. We performed follow-up 1 and 3 months after the injection, with no relapse. Paradoxical vocal fold motion (PVFM) is a poorly understood disorder of episodic dyspnea. The aim of this case is to highlight the use of a mini-invasive surgical technique to treat PVFM in a patient otherwise forced to undergo a permanent tracheostomy, reducing the peri- and postoperative risks of its management.

Keywords

• vocal cord dysfunction
• botulinum
• dyspnea
• laryngeal spasms