**1. Introduction**

Airway pathologies in neonates are very challenging. Considering a wide variation in the anatomy and physiology compared to the adults, clinical approach to this population is entirely different.

Bilateral abductor paralysis means the failure of vocal cords to abduct resulting from denervation of recurrent laryngeal branch of vagus nerve. Although being a second most common cause of stridor in paediatric population, it is still a rare entity. The incidence in neonates is estimated to be 0.75 cases per million births per year [1]. There is no definite sex predilection. With no single definable cause and being a common presentation of wide range of pathologies, for example, congenital, neurological, traumatic etc., this is a topic that has to be critically explored.
