Arytenoidectomy is a rare operation in children. Airway obstruction following a difficult delivery of a newborn with cardinal symptoms of laryngeal obstruction should arouse suspicion of laryngeal paralysis. Midline paralysis in children has varied causes. A tracheotomy is almost always necessary for its initial treatment. When spontaneous recovery fails to occur, arytenoidectomy in the pre‐grammar school age is an effective, safe and successful procedure. This is a report of 11 cases treated by the external surgical approach of arytenoidectomy, following which decannulation was possible. In all cases the voice was better than expected.
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Seymour R. Cohen (1973) studied this question.