Treatment of paradoxical vocal fold motion in a 12-year-old patient with patau’s syndrome

We describe the case of a 12-year-old girl with paradoxical vocal fold motion (PVFM) secondary to partial Patau’s syndrome, successfully treated with botulinum toxin A (BTX-A) injection to the vocal folds. We performed follow-up 1 and 3 months after the injection, with no relapse. Paradoxical vocal fold motion (PVFM) is a poorly understood disorder of episodic dyspnea. The aim of this case is to highlight the use of a mini-invasive surgical technique to treat PVFM in a patient otherwise forced to undergo a permanent tracheostomy, reducing the peri-and postoperative risks of its management.