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PEDIATRIC ANESTHESIA

Superficial Cervical Plexus Block for Vocal Cord Surgery in an Awake Pediatric Patient

Department of Pediatric Anesthesiology, Children’s Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, Illinois

Address correspondence and reprint requests to Santhanam Suresh, MD, FAAP, Department of Pediatric Anesthesiology, Children’s Memorial Hospital, 2300 Children’s Plaza, Chicago, IL 60614. Address e-mail to ssuresh{at}northwestern.edu

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.

IMPLICATIONS: 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.