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Articles describing patients who received no surgical intervention for BVFP were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 5989 articles were reviewed: 67 articles met inclusion criteria, and 240 patients were incorporated into the analysis. Patients who underwent primary GWS had an eventual tracheostomy rate of 6.0% (5\/83). There were no statistically significant differences in the rate of tracheostomy, reoperation, or mortality among cricoid split, suture lateralization, and cordectomy\/cordotomy. Patients who underwent primary tracheostomy failed to achieve decannulation in 36.9% (58\/157) of cases. Decannulation was more likely in tracheostomized children who received GWS than those who did not (odds ratio, 6.336; <jats:italic>P<\/jats:italic> &lt;. 0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most children who undergo primary GWS for BVFP avoid tracheostomy or reoperation. These data demonstrated no differences in surgical outcomes among the most common types of GWS for BVFP. For children who receive a tracheostomy as their first intervention for BVFP, GWS is associated with a significantly improved rate of decannulation.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820944892","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T04:10:26Z","timestamp":1595304626000},"page":"255-263","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Surgical Management of Bilateral Vocal Fold Paralysis in Children: A Systematic Review and Meta\u2010analysis"],"prefix":"10.1002","volume":"164","author":[{"given":"Ryan Kendall","family":"Thorpe","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohit Paul","family":"Kanotra","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck 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