**Abstract**

Paediatric airway compared to the adult has a considerable anatomical and physiological difference. Airway pathologies in neonates are very challenging in terms of diagnosis and management. Bilateral abductor paralysis is one of such situations. Despite being the second most common cause of stridor in paediatric population, the disease is still rare. Having a huge range of aetiological variations on one hand and the grievousness of pathology on the other, management of the disease is very challenging at times. Here, we present a review on various aetiological factors along with management of the disease.

**Keywords:** paediatric, airway, vocal fold, stridor, paralysis
