Superficial cervical plexus block for vocal cord surgery in an awake pediatric patient.
Medialization thyroplasty is a surgical procedure that decreases the incidence of dysphonia and dysphagia in patients who have vocal cord paralysis. We report a case of a pediatric patient who underwent this procedure with minimal sedation and bilateral superficial cervical plexus blockade. The use of a regional technique provided analgesia while allowing the patient to phonate at the request of the surgeon.


CONCLUSIONS
Medialization thyroplasty is a surgical procedure that decreases the incidence of dysphagia and dysphonia in patients with vocal cord paralysis. This procedure is best performed in a patient who maintains the ability to phonate. We report a case of medialization thyroplasty in a pediatric patient after bilateral superficial cervical plexus blocks with minimal sedation.
Suresh
Santhanam
S
Department of Pediatric Anesthesiology, Children's Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Templeton
Leah
L
D000293:Adolescent; D000700:Analgesics / Q000008:administration & dosage; D002572:Cervical Plexus / Q000187:drug effects*; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D014826:Vocal Cord Paralysis / Q000188:drug therapy* / Q000601:surgery*; D014851:Wakefulness / Q000187:drug effects* / Q000502:physiology
D000700:Analgesics