Congenital bilateral abductor vocal cord palsy in previous cesarean section in pregnancy - a case report
Meena Priyadharshini V, Grace Chrisilda Wesley, Chitra TV
A 34 year old G2P1L1 at 35 weeks 6 days previous LSCS with bilateral congenital vocal cord palsy was referred to our tertiary care hospital with worsening of congenital stridor. On examination her respiratory rate was 32/min, heart rate was 132/min and temperature of 96.4oF. Obstetric examination revealed a gravid uterus of 36 weeks size, cephalic presentation with good fetal heart sound, not in labour. On further evaluation, ABG suggested worsening respiratory acidosis and hence taken up for emergency LSCS under SA and delivered a live baby girl of 2.5kg with good APGAR. She was intubated during immediate postoperative period due to acute respiratory acidosis. She was extubated after 24 hours once her arterial blood gas analysis (ABG) showed improvement. Postnatal period was uneventful. Otorhinolaryngologist planned for cordectomy after 6 weeks. Patient improved symptomatically and discharged on 7th postoperative day.