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While there is an abundance of literature highlighting the presence of this complication, there is a scarcity of research focusing on the pathophysiology, presentation, diagnosis, and treatment options available for children affected by vocal cord palsy.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951121001165_as2\"><jats:title>Materials and methods:<\/jats:title><jats:p>Electronic searches were conducted using the search terms: \u201cVocal Cord Palsy,\u201d \u201cVCP,\u201d \u201cVocal Cord Injury,\u201d \u201cPaediatric Heart Surgery,\u201d \u201cCongenital Heart Surgery,\u201d \u201cPediatric Heart Surgery,\u201d \u201cVocal Fold Movement Impairment,\u201d \u201cVFMI,\u201d \u201cVocal Fold Palsy,\u201d \u201cPDA Ligation.\u201d The inclusion criteria were any articles discussing the outcomes of vocal cord palsy following paediatric cardiac surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951121001165_as3\"><jats:title>Results:<\/jats:title><jats:p>The two main populations affected by vocal cord palsy are children undergoing aortic arch surgery or those undergoing PDA ligation. There is paucity of prospective follow-up studies; it is therefore difficult to reliably assess the current approaches and the long-term implications of management options.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951121001165_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Vocal cord palsy can be a devastating complication following cardiac surgery, which if left untreated, could potentially result in debilitation of quality of life and in severe circumstances could even lead to death. Currently, there is not enough high-quality evidence in the literature to aid recognition, diagnosis, and management leaving clinicians to extrapolate evidence from adult studies to make clinical judgements. 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