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Recurrent stridor in an infant
  1. Chien Ying Vincent Ngu,
  2. Jeyasakthy Saniasiaya and
  3. Jeyanthi Kulasegarah
  1. Department of Otorhinolaryngology, University of Malaya, Faculty of Medicine, Kuala Lumpur, WP Kuala Lumpur, Malaysia
  1. Correspondence to Dr Jeyasakthy Saniasiaya; shakthy_18{at}


Paediatric upper airway obstruction is an emergency that requires immediate intervention. Among the myriad factors that leads to upper airway obstruction in paediatric age group, bilateral vocal cord palsy is not commonly encountered in clinical practice. The underlying cause of bilateral vocal cord palsy requires thorough investigation prior to deciding on the appropriate intervention. Herein, we report a 4-month-old baby boy who presented with recurrent inspiratory stridor with bilateral vocal cord palsy secondary to Arnold Chiari II malformation. Immediate intervention to drain the hydrocephalous resulted in complete resolution of stridor without having to perform a tracheostomy. We highlight the importance of meticulous and thorough investigations especially in children, as emergent airway intervention such as tracheostomy may result in detrimental effect to speech, swallowing as well as quality of life.

  • paediatrics
  • congenital disorders
  • ear
  • nose and throat/otolaryngology

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  • Contributors VNCY: drafting, writing, editing, literature review. JS and JK: editing, literature review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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