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• #1 Vocal cord paralysis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/symptoms-causes/syc-20378873

  Vocal cord paralysis is a condition that causes the loss of control of the muscles that control the voice. It happens when the nerve impulses to the voice box, also called the larynx, are disrupted. This results in paralysis of the vocal cord muscles. […] Vocal cord paralysis can make it hard to speak and even breathe. The vocal cords, also called vocal folds, do more than just produce sound. They also protect the airway. They prevent food, drink and even saliva from entering the windpipe and causing a person to choke. […] Treatment for vocal cord paralysis usually involves surgery, and sometimes voice therapy. […] Vocal cord paralysis usually involves the loss of control of only one vocal cord. Paralysis of both vocal cords is a rare but serious condition. This can make it hard to speak and can cause trouble with breathing and swallowing.

• #2 Vocal Cord Paralysis: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17624-vocal-cord-paralysis

  Vocal cord paralysis happens when you cant control the muscles that move one or both vocal cords. […] Healthcare providers treat this condition with voice therapy and surgery. […] With vocal cord paralysis, nerve damage prevents the muscles inside your vocal cords from opening and closing properly. As a result, you may have trouble speaking, swallowing or even breathing all functions that depend on your vocal cords moving. […] Treatment depends on the severity of the paralysis and your symptoms. If paralysis is mild, you may need voice therapy to improve how your vocal cords work. During therapy, you do special exercises that strengthen your vocal cords, help you control muscles that help you speak and improve how you breathe when speaking. […] More severe vocal cord paralysis may require surgery.

• #3 Vocal cord paralysis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/symptoms-causes/syc-20378873

  Vocal cord paralysis is a condition that causes the loss of control of the muscles that control the voice. It happens when the nerve impulses to the voice box, also called the larynx, are disrupted. This results in paralysis of the vocal cord muscles. […] Vocal cord paralysis can make it hard to speak and even breathe. The vocal cords, also called vocal folds, do more than just produce sound. They also protect the airway. They prevent food, drink and even saliva from entering the windpipe and causing a person to choke. […] Treatment for vocal cord paralysis usually involves surgery, and sometimes voice therapy. […] Vocal cord paralysis usually involves the loss of control of only one vocal cord. Paralysis of both vocal cords is a rare but serious condition. This can make it hard to speak and can cause trouble with breathing and swallowing.

• #4 Vocal cord paralysis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/vocal-cord-paralysis?content_id=CON-20378857

  Vocal cord paralysis is a condition that causes the loss of control of the muscles that control the voice. It happens when the nerve impulses to the voice box, also called the larynx, are disrupted. This results in paralysis of the vocal cord muscles. […] Vocal cord paralysis can make it hard to speak and even breathe. […] Treatment of vocal cord paralysis depends on the cause, how serious the symptoms are and when symptoms began. Treatment may include voice therapy, bulk injections, surgery or a combination of treatments. […] Voice therapy sessions involve exercises or other activities to strengthen your vocal cords and help improve breath control during speech. Voice therapy also can prevent tension in muscles around the paralyzed vocal cord or cords, and protect your airway during swallowing.

• #5 Vocal cord paralysis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/symptoms-causes/syc-20378873

  Symptoms of vocal cord paralysis may include: A breathy quality to the voice. Hoarseness. Noisy breathing. Shortness of breath. Loss of vocal pitch. Choking or coughing while swallowing food, drink or saliva. The need to take several breaths while speaking. Inability to speak loudly. Loss of a gag reflex. Ineffective coughing. Frequent throat clearing. […] Contact your healthcare professional if you have a hoarse voice that can’t be explained and that lasts for more than 2 to 4 weeks. Also see your healthcare professional if you notice any voice changes or discomfort. […] Vocal cord paralysis happens when nerve impulses to the voice box, known as the larynx, are disrupted. This causes the muscle to become paralyzed. […] Risk factors for vocal cord paralysis include: Having throat or chest surgery. People who need surgery on their thyroid, throat or upper chest have an increased risk of vocal cord nerve damage.

• #6 Vocal Cord (Fold) Paralysis – ENT Health

  https://www.enthealth.org/conditions/vocal-cord-fold-paralysis/

  Vocal cord paralysis and paresis can result from abnormal function of the nerves that control your voice box muscles (laryngeal muscles). […] Depending on your needs, vocal cord paralysis can cause great difficulty, or only mild problems. […] Symptoms of paralysis and paresis of the vocal cords can include: Voice changesHoarseness, breathy voice, weak voice, gurgling quality to the voice, shortness of breath after speaking […] These symptoms can be mild to severe depending on the degree of paralysis, and the ability of your voice box to adapt. […] Depending on the severity of your vocal cord paralysis and how much it affects your everyday life, your ENT specialist can offer different treatments options, including: Voice therapyLike physical therapy for an injured knee, voice therapy can help improve vocal function before having to consider surgery. […] If you suffer from vocal cord paralysis, your doctor will be able to guide you and find the best treatment options for your symptoms and needs.

• #7 Vocal cord paralysis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/symptoms-causes/syc-20378873

  Breathing problems associated with vocal cord paralysis may be so mild that you just have a hoarse-sounding voice. Or they can be so serious that they’re life-threatening. […] Vocal cord paralysis keeps the opening to the airway from completely opening or closing. This can cause someone to choke on or inhale food or liquid, known as aspiration. Aspiration that leads to severe pneumonia is rare but serious and requires immediate medical care.

• #8 Vocal Fold Paralysis—Symptoms & Treatment | NIDCD

  https://www.nidcd.nih.gov/health/vocal-fold-paralysis

  Vocal fold paralysis (also known as vocal cord paralysis) is a voice disorder that occurs when one or both of the vocal folds don’t open or close properly. Single vocal fold paralysis is a common disorder. Paralysis of both vocal folds is rare and can be life threatening. […] If you have vocal fold paralysis, the paralyzed fold or folds may remain open, leaving the air passages and lungs unprotected. You could have difficulty swallowing or food or liquids could accidentally enter the trachea and lungs, causing serious health problems. […] Symptoms of vocal fold paralysis include changes in the voice, such as hoarseness or a breathy voice; difficulties with breathing, such as shortness of breath or noisy breathing; and swallowing problems, such as choking or coughing when you eat because food is accidentally entering the windpipe instead of the esophagus.

• #9 Vocal cord paralysis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/diagnosis-treatment/drc-20378878

  To diagnose vocal cord paralysis, your healthcare professional asks about your symptoms and lifestyle. Your care professional also listens to your voice and asks how long you’ve had voice changes. You also may need the following tests: […] Treatment of vocal cord paralysis depends on the cause, how serious the symptoms are and when symptoms began. Treatment may include voice therapy, bulk injections, surgery or a combination of treatments. […] Voice therapy sessions involve exercises or other activities to strengthen your vocal cords and help improve breath control during speech. Voice therapy also can prevent tension in muscles around the paralyzed vocal cord or cords, and protect your airway during swallowing. Voice therapy may be the only treatment needed if the paralysis occurs in an area that doesn’t require additional bulk or repositioning.

• #10 Vocal Cord Paralysis – Ear, Nose, and Throat Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/laryngeal-disorders/vocal-cord-paralysis

  Vocal cord paralysis has numerous causes and can affect speaking, breathing, and swallowing. Diagnosis is based on direct visualization. An extensive assessment may be necessary to determine the cause. Several direct surgical approaches are available if treating the cause is not curative. […] Diagnosis of vocal cord paralysis is based on laryngoscopy. The cause must always be sought. Evaluation is guided by abnormalities identified on history and physical examination. […] In unilateral paralysis, treatment is directed at improving voice quality through augmentation, medialization, or reinnervation. […] In bilateral paralysis, an adequate airway must be reestablished. Tracheotomy may be needed permanently or temporarily during an upper respiratory infection. […] Various surgical procedures are available to improve voice quality in unilateral paralysis or to improve airway patency in long-term bilateral paralysis.

• #11 Vocal Cord Paralysis | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/vocal-cord-paralysis/

  The Voice Center at UT Southwestern Medical Center offers exceptional expertise in diagnosing and treating vocal cord paralysis and other voice disorders. Our multidisciplinary team includes fellowship-trained laryngologists and speech-language pathologists who are committed to improving voice quality. […] Our multidisciplinary team combines the expertise of fellowship-trained laryngologists (ear, nose, and throat specialists with specialized training in disorders of the larynx), speech-language pathologists with training specifically in voice care, and other care professionals with expertise in voice and throat conditions. Our team members are widely recognized as experts in the accurate diagnosis and effective treatment of vocal cord paralysis. […] At UT Southwestern, we usually begin treatment for vocal cord paralysis with nonsurgical therapies, such as: Speech therapy, with exercises to strengthen vocal cords, improve breath control during speech, and protect the airway when swallowing.

• #12 Vocal Cord Paralysis – Page 2

  https://www.medscape.com/viewarticle/559976_2

  Vocal cord paralysis is a common sequela to any thyroid surgery. Permanent damage to the recurrent laryngeal nerve (RLN) follows 0.5% to 5% of thyroidectomies and may manifest as irreversible dysfunction of phonation. […] When bilateral, this potentially serious complication can induce significant functional impairment of phonation and respiration. Furthermore, vocal cord paralysis can interfere with the ability to work and enjoy optimal social relationships. […] Vocal cord paresis as a consequence of injury to the RLN can occur during thyroid or parathyroid surgery, carotid endarterectomy, cervical disk surgery, or chest surgery. Severity of the lesion ranges from irreversible (permanent) damage to persistent or transient dysfunction with a good prognosis of recovery. […] The primary symptom of vocal cord paralysis is an absent, abnormal, or nearly normal voice. Patients may present with breathy, weak, low-pitched or high-pitched dysphonia, and other symptoms such as short vocalizations and coughing or choking when eating or drinking.

• #13 Vocal cord paralysis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/symptoms-causes/syc-20378873

  Symptoms of vocal cord paralysis may include: A breathy quality to the voice. Hoarseness. Noisy breathing. Shortness of breath. Loss of vocal pitch. Choking or coughing while swallowing food, drink or saliva. The need to take several breaths while speaking. Inability to speak loudly. Loss of a gag reflex. Ineffective coughing. Frequent throat clearing. […] Contact your healthcare professional if you have a hoarse voice that can’t be explained and that lasts for more than 2 to 4 weeks. Also see your healthcare professional if you notice any voice changes or discomfort. […] Vocal cord paralysis happens when nerve impulses to the voice box, known as the larynx, are disrupted. This causes the muscle to become paralyzed. […] Risk factors for vocal cord paralysis include: Having throat or chest surgery. People who need surgery on their thyroid, throat or upper chest have an increased risk of vocal cord nerve damage.

• #14 Paralysis (Unilateral) | Sean Parker Institute for the Voice

  https://voice.weill.cornell.edu/voice-disorders/paralysis-unilateral

  Vocal fold paralysis is immobility of a vocal fold because of damage or dysfunction of its principal nerve. […] Vocal fold paralysis can be unilateral (one-sided) or bilateral (two-sided). […] Most unilateral paralysis of the vocal folds happens for one of three reasons: nerve injury during a number of common surgeries, pressure on the nerve (for instance from a tumor growing next to it), or inflammation that stops the nerve from working (usually attributed to viral infection). […] Vocal fold paralysis may be an inadvertent result of several common surgeries, listed below. […] In cases of paralysis in persons who have not had any of the above procedures, tumors are the most serious concern, with health consequences that reach far beyond voice. […] In some 15-20% of cases, no reason is found for the vocal fold paralysis, even after appropriate radiologic studies.

• #15 Paralysis (Unilateral) | Sean Parker Institute for the Voice

  https://voice.weill.cornell.edu/voice-disorders/paralysis-unilateral

  Vocal fold paralysis is immobility of a vocal fold because of damage or dysfunction of its principal nerve. […] Vocal fold paralysis can be unilateral (one-sided) or bilateral (two-sided). […] Most unilateral paralysis of the vocal folds happens for one of three reasons: nerve injury during a number of common surgeries, pressure on the nerve (for instance from a tumor growing next to it), or inflammation that stops the nerve from working (usually attributed to viral infection). […] Vocal fold paralysis may be an inadvertent result of several common surgeries, listed below. […] In cases of paralysis in persons who have not had any of the above procedures, tumors are the most serious concern, with health consequences that reach far beyond voice. […] In some 15-20% of cases, no reason is found for the vocal fold paralysis, even after appropriate radiologic studies.

• #16 Vocal Cord Paralysis General Information | Boston Medical Center

  https://www.bmc.org/otolaryngology/conditions-we-treat/throat/vocal-cord-paralysis

  Known reasons can include: Inadvertent injury during surgery: Surgery in the neck (thyroid gland, carotid artery) or in the chest (lungs, esophagus, heart, or large blood vessels) may inadvertently result in RLN paresis or paralysis. […] Both paresis and paralysis of voice box muscles result in voice changes and may also result in airway problems and swallowing difficulties. […] An otolaryngologist-head and neck surgeon conducts a general examination and then questions you about your symptoms and lifestyle (voice use, alcohol/tobacco use). […] The two treatment strategies to improve vocal function are voice therapy (like physical therapy for large muscle paralysis), and phonosurgery, an operation that repositions and/or reshapes the vocal folds to improve voice function.

• #17 Vocal cord paralysis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/diagnosis-treatment/drc-20378878

  To diagnose vocal cord paralysis, your healthcare professional asks about your symptoms and lifestyle. Your care professional also listens to your voice and asks how long you’ve had voice changes. You also may need the following tests: […] Treatment of vocal cord paralysis depends on the cause, how serious the symptoms are and when symptoms began. Treatment may include voice therapy, bulk injections, surgery or a combination of treatments. […] Voice therapy sessions involve exercises or other activities to strengthen your vocal cords and help improve breath control during speech. Voice therapy also can prevent tension in muscles around the paralyzed vocal cord or cords, and protect your airway during swallowing. Voice therapy may be the only treatment needed if the paralysis occurs in an area that doesn’t require additional bulk or repositioning.

• #18 Vocal Cord Paralysis Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/grabscheid-voice-swallowing-center/conditions/vocal-cord-paralysis

  Vocal cord paralysis occurs when the nerve impulses to your voice box (larynx) are interrupted. This results in paralysis of your vocal cord muscle. Vocal cord paralysis can affect your ability to speak and even breathe. […] Treatment of vocal cord paralysis depends on the cause, the severity of symptoms, and the time from the onset of symptoms. Treatment may include voice therapy, surgery, or both. In some instances, you may get better without surgical treatment. For this reason, your doctor may delay surgery for six months to a year from the beginning of your vocal cord paralysis. During this waiting period, your doctor may suggest voice therapy to help keep you from using your voice improperly while the nerves heal. […] Voice therapy sessions involve exercises or other activities to strengthen your vocal cords, improve breath control during speech, prevent abnormal tensions in other muscles around the paralyzed vocal cord, and protect your airway during swallowing.

• #19 Vocal cord paralysis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/diagnosis-treatment/drc-20378878

  To diagnose vocal cord paralysis, your healthcare professional asks about your symptoms and lifestyle. Your care professional also listens to your voice and asks how long you’ve had voice changes. You also may need the following tests: […] Treatment of vocal cord paralysis depends on the cause, how serious the symptoms are and when symptoms began. Treatment may include voice therapy, bulk injections, surgery or a combination of treatments. […] Voice therapy sessions involve exercises or other activities to strengthen your vocal cords and help improve breath control during speech. Voice therapy also can prevent tension in muscles around the paralyzed vocal cord or cords, and protect your airway during swallowing. Voice therapy may be the only treatment needed if the paralysis occurs in an area that doesn’t require additional bulk or repositioning.

• #20 Vocal cord paralysis | Health Library | Memorial Health System

  https://www.mhsystem.org/health-library/con-20378857/

  Vocal cord paralysis is a condition that causes the loss of control of the muscles that control the voice. It happens when the nerve impulses to the voice box, also called the larynx, are disrupted. This results in paralysis of the vocal cord muscles. […] Treatment for vocal cord paralysis usually involves surgery, and sometimes voice therapy. […] Treatment of vocal cord paralysis depends on the cause, how serious the symptoms are and when symptoms began. Treatment may include voice therapy, bulk injections, surgery or a combination of treatments. […] Voice therapy sessions involve exercises or other activities to strengthen your vocal cords and help improve breath control during speech. Voice therapy also can prevent tension in muscles around the paralyzed vocal cord or cords, and protect your airway during swallowing. Voice therapy may be the only treatment needed if the paralysis occurs in an area that doesnt require additional bulk or repositioning.

• #21 Vocal cord paralysis | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/vocal-cord-paralysis?content_id=CON-20378857

  Vocal cord paralysis is a condition that causes the loss of control of the muscles that control the voice. It happens when the nerve impulses to the voice box, also called the larynx, are disrupted. This results in paralysis of the vocal cord muscles. […] Vocal cord paralysis can make it hard to speak and even breathe. […] Treatment of vocal cord paralysis depends on the cause, how serious the symptoms are and when symptoms began. Treatment may include voice therapy, bulk injections, surgery or a combination of treatments. […] Voice therapy sessions involve exercises or other activities to strengthen your vocal cords and help improve breath control during speech. Voice therapy also can prevent tension in muscles around the paralyzed vocal cord or cords, and protect your airway during swallowing.

• #22 Vocal Cord Paresis (Paralysis): Symptoms, Causes, and Treatment Options

  https://www.houstonent.com/blog/vocal-cord-paresis-paralysis-symptoms-causes-and-treatment-options

  Voice therapy involves activities and exercises that help to: Enhance breath control during speech, Vocal cord strengthen, Protect your airway when you swallow, Prevent irregular tension in your other muscles surrounding the paralyzed vocal cords. […] If your symptoms don’t completely recover by themselves, surgery could help enhance your ability to swallow and speak. […] Vocal cord(s) paralysis can be debilitating and frustrating, particularly since your voice affects how you communicate. […] After your initial evaluation, the doctor will likely refer you to an ENT doctor, or a doctor specializing in ear, nose and throat conditions. They might also refer you to a speech-language pathologist who will provide you with voice assessment and therapy.

• #23 Vocal cord paralysis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/diagnosis-treatment/drc-20378878

  If your vocal cord paralysis symptoms don’t fully recover on their own, you may need surgery to improve your ability to speak and to swallow. […] During the waiting period for surgery, you may get voice therapy to help keep you from using your voice improperly while the nerves heal. […] Even if you’re not able to get back the voice you once had, voice therapy can help you learn effective ways to make up for it. In addition, a speech-language pathologist can teach you how to use your voice without causing further damage to the vocal cords.

• #24 Vocal cord paralysis // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/vocal-cord-paralysis

  If both of your vocal cords are paralyzed and positioned closely together, your airflow will be decreased. This causes a lot of trouble breathing and requires a surgery called a tracheotomy. […] Vocal cord paralysis can be frustrating and affect your daily life. It can be hard to communicate with other people. A speech therapist can help you develop the skills you need to communicate. […] Even if you’re not able to get back the voice you once had, voice therapy can help you learn effective ways to make up for it.

• #25 Vocal Cord Paralysis Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/grabscheid-voice-swallowing-center/conditions/vocal-cord-paralysis

  If your vocal cord paralysis symptoms don’t fully recover on their own, surgical treatments may be offered to improve your ability to speak and to swallow. Surgical options include: Bulk injection. Paralysis of the nerve to your vocal cord will probably leave the vocal cord muscle thin and weak. To add bulk to a paralyzed vocal cord the laryngologist may inject your vocal cord with a substance such as body fat, collagen, or another approved filler. This added bulk brings the affected vocal cord closer to the middle of your voice box so that the opposite functioning and moving vocal cord can make closer contact with the paralyzed cord when you speak, swallow, or cough. […] Vocal cord repositioning. In this procedure, a surgeon moves a window of your own tissue from the outside of your voice box inward, pushing the paralyzed vocal cord toward the middle of your voice box. This allows your unimpaired vocal cord to better vibrate against its paralyzed partner.

• #26 Vocal Cord Paralysis | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/vocal-cord-paralysis/

  We typically recommend surgical procedures for patients whose symptoms dont improve with conservative treatments. Our surgeons offer: Injection augmentation to the paralyzed vocal cord using fat typically taken from the belly. […] Thyroplasty: Surgery to place an implant in the paralyzed vocal cord and position it closer to the functioning vocal cord. […] Arytenoid adduction: Surgery to position the paralyzed vocal cord joint closer to the functioning vocal cord to improve speech, breathing, and swallowing. […] Laryngeal reinnervation surgery: Procedure to connect a damaged nerve to a functioning nerve to improve nerve signals that control vocal cord muscles.

• #27 Vocal Cord Paralysis Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/grabscheid-voice-swallowing-center/conditions/vocal-cord-paralysis

  If both of your vocal cords are paralyzed and positioned closely together, your airflow will be decreased. In this situation, you’ll have a lot of trouble breathing and require a surgical procedure called a tracheotomy. In a tracheotomy, an incision is made in the front of your neck and an opening created directly into the wind pipe (trachea). A breathing tube is inserted, allowing air to bypass the immobilized vocal cords.

• #28 Vocal cord paralysis // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/vocal-cord-paralysis

  If both of your vocal cords are paralyzed and positioned closely together, your airflow will be decreased. This causes a lot of trouble breathing and requires a surgery called a tracheotomy. […] Vocal cord paralysis can be frustrating and affect your daily life. It can be hard to communicate with other people. A speech therapist can help you develop the skills you need to communicate. […] Even if you’re not able to get back the voice you once had, voice therapy can help you learn effective ways to make up for it.

• #29

  https://www.sgh.com.sg/patient-care/conditions-treatments/voice-disorders-vocal-fold-paralysis

  Rarely, if the paralysis involves both vocal folds, there can be difficulty breathing or noisy breathing due to narrowing of the airway. In this situation, a surgical procedure called a tracheostomy may be needed. This involves placing a breathing tube (known as a tracheostomy tube) through an opening in the windpipe. Sometimes a laser procedure to widen the airway may be used instead.

• #30 Vocal Cord Paralysis | Durham, Raleigh, North Carolina | Duke Health

  https://www.dukehealth.org/treatments/voice-disorders/vocal-cord-paralysis

  We will perform a comprehensive voice evaluation to assess your voice use patterns — how much you speak, sing, or use a loud voice, and how your voice sounds. […] People with vocal cord paralysis may have trouble protecting their airway during swallowing. Your laryngologist may order a swallow study to ensure no food or liquid enter your airway. […] You’ll have access to one of the few comprehensive voice care programs in the Southeast and its team of voice experts. Your care team will include laryngologists — ENT doctors with advanced training in voice disorders — and highly specialized speech pathologists. We treat all laryngeal conditions, including voice problems, upper airway breathing problems, and swallowing disorders — all of which may be affected by vocal cord paralysis.

• #31 AANA Journal October 2021: AANA Journal Course—Vocal Cord Paralysis: Implications for Anesthesia Care

  http://www.onlinedigeditions.com/article/AANA+Journal+Course%E2%80%94Vocal+Cord+Paralysis%3A+Implications+for+Anesthesia+Care/4124633/723084/article.html

  Vocal cord paralysis (VCP) is the absence of movement of one or both vocal cords and can be neurogenic or mechanical in origin. […] Whether temporary or permanent, VCP increases the risk of respiratory distress and aspiration in the perioperative period. […] Considerations in care of patients with unilateral VCP include maintaining function of the mobile vocal cord and preventing laryngeal edema. […] Considerations in care of patients with bilateral VCP include avoiding intubation, use of smaller endotracheal tubes when necessary, atraumatic intubation, perioperative corticosteroid administration, smooth emergence, and enhanced postoperative monitoring. […] Priorities in care of patients with preexisting unilateral VCP include maintaining function of the mobile VC and preventing laryngeal edema.

• #32 AANA Journal October 2021: AANA Journal Course—Vocal Cord Paralysis: Implications for Anesthesia Care

  http://www.onlinedigeditions.com/article/AANA+Journal+Course%E2%80%94Vocal+Cord+Paralysis%3A+Implications+for+Anesthesia+Care/4124633/723084/article.html

  Any instrumentation through the glottis increases the risk of laryngeal edema, decreased mobility of the mobile VC, and postextubation respiratory distress. […] A small ET tube inserted in a nontraumatic manner decreases laryngeal irritation and edema formation. […] Perioperative corticosteroids are also advocated, if not contraindicated, to prevent edema. […] Smooth emergence with no coughing or bucking on the ET tube and extubation with a fully deflated cuff also minimize trauma. […] Knowledge of a patients baseline breathing ability is key because breathing ability will not improve in the postoperative period. […] Measures to prevent laryngeal edema such as small ET tubes, gentle intubation, perioperative corticosteroids, and smooth emergence are critical in these patients. […] Priorities in the care of patients with preexisting VCP include maintaining function of the mobile VC and preventing laryngeal irritation and edema. […] Recommendations include avoidance of transglottic instrumentation, use of smaller ET tubes, nontraumatic intubation, perioperative corticosteroids, smooth emergence and extubation, and enhanced postoperative monitoring.

• #33 AANA Journal Course – Vocal Cord Paralysis: Implications for Anesthesia Care – PubMed

  https://pubmed.ncbi.nlm.nih.gov/34586999/

  Vocal cord paralysis (VCP) is the absence of movement of one or both vocal cords and can be neurogenic or mechanical in origin. […] Whether temporary or permanent, VCP increases the risk of respiratory distress and aspiration in the perioperative period. […] Considerations in care of patients with unilateral VCP include maintaining function of the mobile vocal cord and preventing laryngeal edema. […] Patients with bilateral VCP have a fixed glottic size, which makes preventing airway edema critical as it may precipitate respiratory distress requiring intubation or tracheostomy. […] Considerations in care of patients with bilateral VCP include avoiding intubation, use of smaller endotracheal tubes when necessary, atraumatic intubation, perioperative corticosteroid administration, smooth emergence, and enhanced postoperative monitoring.

• #34 AANA Journal October 2021: AANA Journal Course—Vocal Cord Paralysis: Implications for Anesthesia Care

  http://www.onlinedigeditions.com/article/AANA+Journal+Course%E2%80%94Vocal+Cord+Paralysis%3A+Implications+for+Anesthesia+Care/4124633/723084/article.html

  Any instrumentation through the glottis increases the risk of laryngeal edema, decreased mobility of the mobile VC, and postextubation respiratory distress. […] A small ET tube inserted in a nontraumatic manner decreases laryngeal irritation and edema formation. […] Perioperative corticosteroids are also advocated, if not contraindicated, to prevent edema. […] Smooth emergence with no coughing or bucking on the ET tube and extubation with a fully deflated cuff also minimize trauma. […] Knowledge of a patients baseline breathing ability is key because breathing ability will not improve in the postoperative period. […] Measures to prevent laryngeal edema such as small ET tubes, gentle intubation, perioperative corticosteroids, and smooth emergence are critical in these patients. […] Priorities in the care of patients with preexisting VCP include maintaining function of the mobile VC and preventing laryngeal irritation and edema. […] Recommendations include avoidance of transglottic instrumentation, use of smaller ET tubes, nontraumatic intubation, perioperative corticosteroids, smooth emergence and extubation, and enhanced postoperative monitoring.

• #35 Correction of Vocal Cord Paralysis, Medialization Laryngoplasty, Arytenoid Adduction – Haben Practice For Voice and Laryngeal Laser Surgery, PLLC – Rochester NY

  https://professionalvoice.org/paralysis.aspx

  Voice: power projection would be significantly improved. You should be able to say many more words per breath, and be less fatigued when speaking the high squeakiness should be decreased, and your range would be better. […] Swallowing Cough: less choking on liquids, and a stronger, more effective cough overall, a safer, more 'competent’ larynx. […] The permanent implant is done in the main operating room, as „day surgery” (you go home the same day). […] Unfortunately, an arytenoid adduction is sometimes the only way in which to close the vocal cord gap sufficiently to achieve a reasonable voice, restore a strong cough, and reduce swallowing difficulties. […] You will have steri-strip bandages over the 2-inch incision post-operatively, which should be left alone and kept dry. […] If the implant gets infected, you may end up with scarring, potential need for more surgery and possibility of an irreversibly worse voice than what you had preoperatively.

• #36 Correction of Vocal Cord Paralysis, Medialization Laryngoplasty, Arytenoid Adduction – Haben Practice For Voice and Laryngeal Laser Surgery, PLLC – Rochester NY

  https://professionalvoice.org/paralysis.aspx

  There are no dietary restrictions. You are on a „see-food” diet. If you „see food” and want to eat it, then eat it! […] You may lightly exercise as long as you are neither lifting weights, nor exercising to the point of sweating (as you must keep the incision clean and dry). Typically one week off from work / school is given post-operatively to recover. […] As above, there is no voice rest or swallowing restrictions, however, most have some discomfort when swallowing after the cartilage repositioning because of the muscles that had to be divided and sewn back together. […] Strong pain medication, steroids (to reduce swelling on the inside) and antibiotics will be given post-operatively.

• #37 Laryngologist in Joliet, Illinois | ENT Surgical Consultants

  https://www.entsurgicalillinois.com/voice-swallowing.html

  Vocal cord paralysis is usually diagnosed by an otolaryngologist. A doctor who specializes in ear, nose, and throat disorders. Noting the symptoms the patient has experienced, the otolaryngologist will ask how and when the voice problems started in order to help determine their cause. […] There are several methods for treating vocal cord paralysis, among them surgery and voice therapy. In some cases, the voice returns without treatment during the first six months after damage. For that reason, doctors often delay permanent corrective surgery for at least six months to be sure the voice does not recover spontaneously. […] Surgery involves injecting bulk to the paralyzed vocal cord or changing its position. […] Sometimes an operation (Medialization Laryngoplasty also called Thyroplasty) that permanently shifts a paralyzed cord closer to the center of the airway to improve voice and swallowing. […] Treating people who have two paralyzed vocal cords may involve performing a surgical procedure called a tracheotomy to help breathing. […] After these operations, patients may also undergo voice therapy, can help fine-tune the voice.

• #38 Vocal Cord Paralysis: Causes, Symptoms, Treatment, and More

  https://www.verywellhealth.com/vocal-cord-paralysis-7564464

  In extreme cases of bilateral vocal cord paralysis, frozen vocal cords can lead to aspiration (inhaling food or liquid into your lungs). […] Research indicates that people who have a voice disorder as that which occurs with vocal cord paralysis have a significant prevalence of psychosocial distress. […] The diagnosis of vocal cord paralysis is typically made by an otolaryngologist (a physician who specializes in ear, nose, and throat disorders). […] Many factors determine the outlook for a case of vocal cord paralysis. The effect of voice changes and airway and swallowing problems vary based on the type of vocal cord paralysis and its severity.

• #39 Vocal cord paralysis // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/vocal-cord-paralysis

  If both of your vocal cords are paralyzed and positioned closely together, your airflow will be decreased. This causes a lot of trouble breathing and requires a surgery called a tracheotomy. […] Vocal cord paralysis can be frustrating and affect your daily life. It can be hard to communicate with other people. A speech therapist can help you develop the skills you need to communicate. […] Even if you’re not able to get back the voice you once had, voice therapy can help you learn effective ways to make up for it.

• #40 Get Vocal Cord Paralysis Care | Cleveland Clinic

  https://my.clevelandclinic.org/services/vocal-cord-paralysis-treatment

  You might have vocal cord paralysis. When your vocal cords (folds) dont work right, it can really play havoc with your world. […] The specialists at Cleveland Clinic can help rehabilitate your voice box (larynx). Well work with you to find a treatment option that fits your needs. […] Our compassionate healthcare providers understand how frustrating and draining it can be when your vocal cords dont work the way they should. […] Your care team are specialists who help people with vocal cord disorders and paralysis. […] Most of the time, you can be treated right in your providers office. […] Our goal is to rehabilitate your voice so you feel and sound like yourself again. Treatment can also help you breathe and swallow better. […] For mild voice impairment with vocal cord paralysis, your provider may recommend voice therapy with a specially trained speech-language pathologist. […] Our specialists inject a filler material into your paralyzed vocal cord. […] If your vocal cord paralysis has lasted longer than 10 to 12 months, we may talk to you about having surgery. […] If one or both of your vocal cords is paralyzed, talking, swallowing even breathing can be much harder.

• #41 Vocal Cord Paralysis: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17624-vocal-cord-paralysis

  A laryngologist may recommend surgery or a vocal fold injection to help improve voice, swallowing and breathing problems. […] People with two paralyzed vocal cords can have a dangerously narrow airway. Theyll often need a tracheostomy (tracheotomy or trach) to open their airway and help with breathing. […] Sometimes, the vocal cords repair themselves. This may take months. With voice therapy, vocal cord injections or implants, your voice may get stronger and allow people to hear you better when you talk. […] Talk to a healthcare provider if you have signs of vocal cord paralysis. Voice changes, unexplained hoarseness, noisy breathing, shortness of breath when talking, or coughing and choking with food or liquids arent normal. Starting treatments early can prevent your condition from worsening. […] See a healthcare provider if you have signs of vocal cord paralysis, including trouble breathing, voice changes or difficulty swallowing.

• #42 Common Questions about Vocal Fold Paralysis – Department of Surgery

  https://www.surgery.wisc.edu/2019/04/19/common-questions-about-vocal-fold-paralysis/

  Unilateral vocal fold paralysis often improves spontaneously over the first 6-12 months after the injury. […] Many treatments exist, including voice and swallow therapy, injection augmentation, and more permanent operations (e.g., framework surgery, reinnervation, arytenoid procedures). […] Decisions about treatment depend on time since injury, the severity of symptoms, and how it is affecting the affected persons quality of life. […] As vocal fold paralysis is a neuromuscular disorder, it cannot be reversed by voice therapy. Nevertheless, voice therapy often plays an important role in the management of voice difficulties due to paralysis. […] In most other cases, voice therapy is indicated as an adjunct to surgical medialization to assist with adjustments in phonatory technique and to manage maladaptive voicing behaviors that may have developed to compensate for glottal incompetence. […] UW Healths Laryngology and Voice and Swallow team offers comprehensive, individualized care for adults and children with vocal fold paralysis.

• #43 Vocal Cord Paralysis: Causes, Symptoms, Treatment, and More

  https://www.verywellhealth.com/vocal-cord-paralysis-7564464

  In extreme cases of bilateral vocal cord paralysis, frozen vocal cords can lead to aspiration (inhaling food or liquid into your lungs). […] Research indicates that people who have a voice disorder as that which occurs with vocal cord paralysis have a significant prevalence of psychosocial distress. […] The diagnosis of vocal cord paralysis is typically made by an otolaryngologist (a physician who specializes in ear, nose, and throat disorders). […] Many factors determine the outlook for a case of vocal cord paralysis. The effect of voice changes and airway and swallowing problems vary based on the type of vocal cord paralysis and its severity.

• #44 Vocal Cord Paralysis: Symptoms, Causes, and Treatments

  https://www.healthline.com/health/vocal-cord-paralysis

  After surgery, your voice may not sound better right away. Youll need to work with a speech-language pathologist after your surgery to develop a new way of speaking that accounts for changes in your vocal cords. […] Treating vocal cord paralysis doesnt always result in your vocal cords regaining their previous abilities. Since the causes of vocal cord paralysis involve nerve damage or progressive health conditions, correcting the paralysis itself may be difficult. […] A treatment plan from your doctor and a supportive speech-language pathologist will give you the best chance to recover your ability to eat, speak, and swallow.

• #45 Vocal Cord Paralysis: Symptoms, Causes, and Treatments

  https://www.healthline.com/health/vocal-cord-paralysis

  After surgery, your voice may not sound better right away. Youll need to work with a speech-language pathologist after your surgery to develop a new way of speaking that accounts for changes in your vocal cords. […] Treating vocal cord paralysis doesnt always result in your vocal cords regaining their previous abilities. Since the causes of vocal cord paralysis involve nerve damage or progressive health conditions, correcting the paralysis itself may be difficult. […] A treatment plan from your doctor and a supportive speech-language pathologist will give you the best chance to recover your ability to eat, speak, and swallow.

• #46 Vocal cord paralysis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/symptoms-causes/syc-20378873

  Breathing problems associated with vocal cord paralysis may be so mild that you just have a hoarse-sounding voice. Or they can be so serious that they’re life-threatening. […] Vocal cord paralysis keeps the opening to the airway from completely opening or closing. This can cause someone to choke on or inhale food or liquid, known as aspiration. Aspiration that leads to severe pneumonia is rare but serious and requires immediate medical care.

• #47 Vocal cord paralysis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vocal-cord-paralysis/symptoms-causes/syc-20378873

  Breathing problems associated with vocal cord paralysis may be so mild that you just have a hoarse-sounding voice. Or they can be so serious that they’re life-threatening. […] Vocal cord paralysis keeps the opening to the airway from completely opening or closing. This can cause someone to choke on or inhale food or liquid, known as aspiration. Aspiration that leads to severe pneumonia is rare but serious and requires immediate medical care.

• #48 Vocal Cord Paralysis: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17624-vocal-cord-paralysis

  A laryngologist may recommend surgery or a vocal fold injection to help improve voice, swallowing and breathing problems. […] People with two paralyzed vocal cords can have a dangerously narrow airway. Theyll often need a tracheostomy (tracheotomy or trach) to open their airway and help with breathing. […] Sometimes, the vocal cords repair themselves. This may take months. With voice therapy, vocal cord injections or implants, your voice may get stronger and allow people to hear you better when you talk. […] Talk to a healthcare provider if you have signs of vocal cord paralysis. Voice changes, unexplained hoarseness, noisy breathing, shortness of breath when talking, or coughing and choking with food or liquids arent normal. Starting treatments early can prevent your condition from worsening. […] See a healthcare provider if you have signs of vocal cord paralysis, including trouble breathing, voice changes or difficulty swallowing.

• #49 Vocal Cord Paralysis | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/vocal-cord-paralysis/

  The Voice Center at UT Southwestern Medical Center offers exceptional expertise in diagnosing and treating vocal cord paralysis and other voice disorders. Our multidisciplinary team includes fellowship-trained laryngologists and speech-language pathologists who are committed to improving voice quality. […] Our multidisciplinary team combines the expertise of fellowship-trained laryngologists (ear, nose, and throat specialists with specialized training in disorders of the larynx), speech-language pathologists with training specifically in voice care, and other care professionals with expertise in voice and throat conditions. Our team members are widely recognized as experts in the accurate diagnosis and effective treatment of vocal cord paralysis. […] At UT Southwestern, we usually begin treatment for vocal cord paralysis with nonsurgical therapies, such as: Speech therapy, with exercises to strengthen vocal cords, improve breath control during speech, and protect the airway when swallowing.

• #50 Reddit – The heart of the internet

  https://www.reddit.com/r/mildlybrokenvoice/comments/10lnwjj/vocal_cord_paralysis_whats_your_story/

  Im in nursing school now, I made a promise to help those on tubes/vents and vocal paralysis and try my best to give them a voice (even though they cant really say anything). […] I know my voice being like this is 100% my fault, but there have been many times dealing with vocal cord paralysis where I felt like I quite literally didnt have a voice. […] I think everyone here on this subreddit deserves to have their story listened to and that their voice matters!

• #51 Vocal Cord Paralysis – Page 2

  https://www.medscape.com/viewarticle/559976_2

  Speech therapy is the cornerstone of treatment for a paralyzed vocal cord unless there is a local lesion needing biopsy or excision. A certified speech therapist familiar with the various etiologies of vocal cord function/dysfunction can suggest laryngeal and neck exercises that can help regain full voice return. […] The patient with vocal cord paralysis should understand the need for direct laryngeal visualization as early as possible and the importance of maintaining regular speech therapy for at least 6 months. If 6 months of speech therapy does not result in significant improvement, surgical options may be considered. […] Although the management of vocal cord paralysis following thyroidectomy does not fall within the scope of the primary care advanced practice RN, it is essential that the advanced practice RN realize the possible significance of hoarseness following any type of intubation or neck surgery and send the patient to the appropriate specialist as soon as possible.

• #52 COVID-19 Infection Causes Teen’s Vocal Cord Paralysis in First-Of-Its-Kind Case

  https://masseyeandear.org/news/press-releases/2023/12/covid-19-infection-causes-teens-vocal-cord-paralysis

  The teens symptoms resolved after she received a long-term tracheostomy under the care of Mass Eye and Ear physicians. […] The case highlights the importance of considering COVID-19 infection as a possible cause of vocal cord paralysis in children. […] The researchers concluded that this paralysis was likely a downstream effect of the COVID-19 virus when an extensive workup revealed no other cause. […] Given how common this virus is among children, this newly recognized potential complication should be considered in any child presenting with a breathing, talking or swallowing complaint after a recent COVID-19 diagnosis, says first author Danielle Reny Larrow, MD, a resident in the Department of Otolaryngology-Head and Neck Surgery at Mass Eye and Ear. […] When speech therapy failed to relieve the patients symptoms, the physicians performed a tracheostomy a surgically created opening in the windpipe to relieve the patients breathing difficulties.

• #53 Vocal Fold Paralysis and Vocal Fold Paresis | Atrium Health Wake Forest Baptist

  https://www.wakehealth.edu/condition/v/vocal-fold-paralysis-and-paresis

  Treatment for vocal fold paresis or paralysis varies depending on the prognosis for recovering vocal fold motion and the severity of the patients symptoms/how the voice changes impact activities of daily living. In some cases, patients prefer a wait and see approach, waiting to see if vocal fold motion recovers spontaneously. In some cases, the vocal fold mobility impairment may cause mild symptoms and you may be recommended for observation only. If your voice condition affects your activities of daily living and quality of life, you may be evaluated by one of our voice pathologists to determine your candidacy for voice therapy. In some cases of vocal fold paresis or paralysis (particularly in less severe cases), voice therapy with special attention to efficient and healthy voice use may resolve or significantly reduce voice symptoms. In other cases, voice therapy may need to be combined with surgical treatment (i.e. before surgery, after surgery, or both).

• #54 Vocal Cord Paralysis: Where Did My Voice Go?

  https://www.orlandohealth.com/content-hub/vocal-cord-paralysis-where-did-my-voice-go/

  Vocal cord paralysis usually occurs when there is pressure or damage to the nerve recurrent laryngeal nerve that carries signals to your voice box. […] Before treatment begins, your care team will evaluate your condition to determine its cause and severity. In many cases, the initial recommendation may be voice therapy. You will learn exercises and activities that can strengthen the sound of your voice and minimize tension in the muscles around them. […] If therapy alone isn’t enough, your doctor may suggest procedures to improve position of the paralyzed vocal cord. Often, injections are performed to add bulk to the weakened vocal cord using a filler (body fat, collagen or other substance). […] In some cases, surgery may be the best option for voice restoration. Surgery generally involves repositioning the paralyzed vocal cord in a more favorable position. This allows the functioning vocal cord to more easily contact the paralyzed one leading to improved voice production. […] As with many medical conditions, the sooner you seek treatment, the better your prospects are for recovery.

• #55 Vocal Cord Paralysis – Page 2

  https://www.medscape.com/viewarticle/559976_2

  Speech therapy is the cornerstone of treatment for a paralyzed vocal cord unless there is a local lesion needing biopsy or excision. A certified speech therapist familiar with the various etiologies of vocal cord function/dysfunction can suggest laryngeal and neck exercises that can help regain full voice return. […] The patient with vocal cord paralysis should understand the need for direct laryngeal visualization as early as possible and the importance of maintaining regular speech therapy for at least 6 months. If 6 months of speech therapy does not result in significant improvement, surgical options may be considered. […] Although the management of vocal cord paralysis following thyroidectomy does not fall within the scope of the primary care advanced practice RN, it is essential that the advanced practice RN realize the possible significance of hoarseness following any type of intubation or neck surgery and send the patient to the appropriate specialist as soon as possible.

• #56 Vocal Cord Paralysis: Where Did My Voice Go?

  https://www.orlandohealth.com/content-hub/vocal-cord-paralysis-where-did-my-voice-go/

  Vocal cord paralysis usually occurs when there is pressure or damage to the nerve recurrent laryngeal nerve that carries signals to your voice box. […] Before treatment begins, your care team will evaluate your condition to determine its cause and severity. In many cases, the initial recommendation may be voice therapy. You will learn exercises and activities that can strengthen the sound of your voice and minimize tension in the muscles around them. […] If therapy alone isn’t enough, your doctor may suggest procedures to improve position of the paralyzed vocal cord. Often, injections are performed to add bulk to the weakened vocal cord using a filler (body fat, collagen or other substance). […] In some cases, surgery may be the best option for voice restoration. Surgery generally involves repositioning the paralyzed vocal cord in a more favorable position. This allows the functioning vocal cord to more easily contact the paralyzed one leading to improved voice production. […] As with many medical conditions, the sooner you seek treatment, the better your prospects are for recovery.

• #57 Reddit – The heart of the internet

  https://www.reddit.com/r/mildlybrokenvoice/comments/10lnwjj/vocal_cord_paralysis_whats_your_story/

  Im in nursing school now, I made a promise to help those on tubes/vents and vocal paralysis and try my best to give them a voice (even though they cant really say anything). […] I know my voice being like this is 100% my fault, but there have been many times dealing with vocal cord paralysis where I felt like I quite literally didnt have a voice. […] I think everyone here on this subreddit deserves to have their story listened to and that their voice matters!

• #58 Vocal cord paralysis | SLT | Expert providers of speech and language therapy throughout the UK.

  https://www.slt.co.uk/conditions/voice-problems/vocal-cord-paralysis/

  SLT UK can help with a number of associated problems which result from vocal cord paralysis. Vocal cord paralysis may cause voice problems, speech sound problems, swallowing difficulties and communication problems. […] Speech and language therapy will help in these areas and enable a patient to overcome or manage their paralysis and therefore improve their own communication. […] Speech and language therapy can be done before or after surgery or it can be the individual method of treatment. The extent of damage will depend upon what type of input is needed for each individual case. […] Speech and language therapy will enable an individual to cope with the effects of paralysis; this may involve working on different methods of communication. […] Speech and language therapy treatment may involve assessments, reports, reviews, therapy programmes, support groups, training, advice and education.

• #59 Vocal cord paralysis | SLT | Expert providers of speech and language therapy throughout the UK.

  https://www.slt.co.uk/conditions/voice-problems/vocal-cord-paralysis/

  An initial assessment will be carried out by one of our speech and language therapists. This will highlight any worries and difficulties concerning communication, speech and swallowing. […] Vocal cord paralysis can occur at any age or stage in life and can differ in severity depending upon the extent of damage to the nerves. Some paralysis may resolve itself, whilst others may be permanent. Speech and language therapy will help this condition as it will enable a patient to try different ways of communicating if needed, and also give some guidance on how to incorporate the paralysis into everyday life.

• #60 Vocal cord paralysis | SLT | Expert providers of speech and language therapy throughout the UK.

  https://www.slt.co.uk/conditions/voice-problems/vocal-cord-paralysis/

  An initial assessment will be carried out by one of our speech and language therapists. This will highlight any worries and difficulties concerning communication, speech and swallowing. […] Vocal cord paralysis can occur at any age or stage in life and can differ in severity depending upon the extent of damage to the nerves. Some paralysis may resolve itself, whilst others may be permanent. Speech and language therapy will help this condition as it will enable a patient to try different ways of communicating if needed, and also give some guidance on how to incorporate the paralysis into everyday life.

• #61 Vocal Cord Paralysis | Durham, Raleigh, North Carolina | Duke Health

  https://www.dukehealth.org/treatments/voice-disorders/vocal-cord-paralysis

  Vocal cord paralysis can affect your voice, swallowing, and even breathing. At Duke Voice Care, our voice specialists use the latest technology to diagnose vocal cord paralysis. We offer voice therapy to reduce the functional impact of vocal cord paralysis and focus treatment on improving speaking, swallowing, and/or breathing. […] Depending on the extent and functional impact of the paralysis, you may have a breathy, weak, and/or soft voice, as well as changes in swallowing and breathing. In rare cases where both vocal cords are paralyzed, you can have difficulty with breathing and/or swallowing that requires immediate medical attention. […] In some cases of vocal cord paralysis, voice quality can be improved with voice therapy alone. It is important to learn how to best use your entire vocal instrument. That means using breath effectively while relaxing your throat to achieve your best voice. Our specially trained speech pathologists will tailor your therapy to treat your specific voice problems.

• #62 Vocal Cord Paralysis | DeFatta Health

  https://defattahealth.com/ent-allergy/voice-swallowing/voice/vocal-cord-paralysis/

  Vocal fold movement disorders is a very diverse group of problems and may include weakness or complete paralysis of one or both vocal folds. An appropriate treatment plan begins with accurate diagnosis. Only a laryngologist (specialty trained voice physician and surgeon) can both accurately diagnose and effectively treat these conditions. […] A treatment plan may include: […] Targeted voice therapy. […] After thyroplasty surgery […] You will be asked to rest your voice and this means no speaking for three to five days. This includes no talking, whispering or laughing. Measures may be taken to avoid cough as well. […] Incision care and wound monitoring will be reviewed by your surgeon and the nursing team before discharge from the hospital.

• #63 Vocal Cord Paralysis | DeFatta Health

  https://defattahealth.com/ent-allergy/voice-swallowing/voice/vocal-cord-paralysis/

  Vocal fold movement disorders is a very diverse group of problems and may include weakness or complete paralysis of one or both vocal folds. An appropriate treatment plan begins with accurate diagnosis. Only a laryngologist (specialty trained voice physician and surgeon) can both accurately diagnose and effectively treat these conditions. […] A treatment plan may include: […] Targeted voice therapy. […] After thyroplasty surgery […] You will be asked to rest your voice and this means no speaking for three to five days. This includes no talking, whispering or laughing. Measures may be taken to avoid cough as well. […] Incision care and wound monitoring will be reviewed by your surgeon and the nursing team before discharge from the hospital.

• #64 Vocal cord paralysis | SLT | Expert providers of speech and language therapy throughout the UK.

  https://www.slt.co.uk/conditions/voice-problems/vocal-cord-paralysis/

  An initial assessment will be carried out by one of our speech and language therapists. This will highlight any worries and difficulties concerning communication, speech and swallowing. […] Vocal cord paralysis can occur at any age or stage in life and can differ in severity depending upon the extent of damage to the nerves. Some paralysis may resolve itself, whilst others may be permanent. Speech and language therapy will help this condition as it will enable a patient to try different ways of communicating if needed, and also give some guidance on how to incorporate the paralysis into everyday life.

• #65 Vocal Cord Paralysis | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/vocal-cord-paralysis

  Vocal cord paralysis often causes one vocal cord to be unable to reach the other. […] When there is no adequate compensation between the two vocal cords, surgical intervention may be needed. […] If your child is experiencing a weak, breathy or hoarse voice from unilateral vocal cord paralysis, we can perform procedures to make your child’s voice louder. […] Our speech pathologist will ensure that your child is safe from a feeding standpoint, and may recommend one of the following approaches if there is aspiration: […] If a surgical intervention is recommended, your child will be seen about one to two months after surgery, and then every three to six months after surgery until the voice normalizes (about 18-20 months after a reinnervation procedure). […] We offer a team approach to care, one that involves the expertise of dedicated pediatric otolaryngologists, advanced practice nurses, voice therapists and a voice research scientist.

• #66 Vocal Cord Paralysis | Condition | UT Southwestern Medical Center

  https://utswmed.org/conditions-treatments/vocal-cord-paralysis/

  The Voice Center at UT Southwestern Medical Center offers exceptional expertise in diagnosing and treating vocal cord paralysis and other voice disorders. Our multidisciplinary team includes fellowship-trained laryngologists and speech-language pathologists who are committed to improving voice quality. […] Our multidisciplinary team combines the expertise of fellowship-trained laryngologists (ear, nose, and throat specialists with specialized training in disorders of the larynx), speech-language pathologists with training specifically in voice care, and other care professionals with expertise in voice and throat conditions. Our team members are widely recognized as experts in the accurate diagnosis and effective treatment of vocal cord paralysis. […] At UT Southwestern, we usually begin treatment for vocal cord paralysis with nonsurgical therapies, such as: Speech therapy, with exercises to strengthen vocal cords, improve breath control during speech, and protect the airway when swallowing.

• #67 Vocal Cord Paralysis | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/vocal-cord-paralysis

  Vocal cord paralysis often causes one vocal cord to be unable to reach the other. […] When there is no adequate compensation between the two vocal cords, surgical intervention may be needed. […] If your child is experiencing a weak, breathy or hoarse voice from unilateral vocal cord paralysis, we can perform procedures to make your child’s voice louder. […] Our speech pathologist will ensure that your child is safe from a feeding standpoint, and may recommend one of the following approaches if there is aspiration: […] If a surgical intervention is recommended, your child will be seen about one to two months after surgery, and then every three to six months after surgery until the voice normalizes (about 18-20 months after a reinnervation procedure). […] We offer a team approach to care, one that involves the expertise of dedicated pediatric otolaryngologists, advanced practice nurses, voice therapists and a voice research scientist.

• #68 Vocal Cord Paralysis | Durham, Raleigh, North Carolina | Duke Health

  https://www.dukehealth.org/treatments/voice-disorders/vocal-cord-paralysis

  We will perform a comprehensive voice evaluation to assess your voice use patterns — how much you speak, sing, or use a loud voice, and how your voice sounds. […] People with vocal cord paralysis may have trouble protecting their airway during swallowing. Your laryngologist may order a swallow study to ensure no food or liquid enter your airway. […] You’ll have access to one of the few comprehensive voice care programs in the Southeast and its team of voice experts. Your care team will include laryngologists — ENT doctors with advanced training in voice disorders — and highly specialized speech pathologists. We treat all laryngeal conditions, including voice problems, upper airway breathing problems, and swallowing disorders — all of which may be affected by vocal cord paralysis.

• #69

  https://umiamihealth.org/en/treatments-and-services/ear,-nose,-and-throat-(ent)/laryngology-and-voice/vocal-cord-paralysis

  Our team has been treating patients with vocal fold paralysis for the past 10 years with an in-office procedure that takes less than 15 minutes. Under local anesthetic, an inert filler material is injected through a fine needle to bulk up and push over the paralyzed vocal fold. This allows the mobile vocal fold to meet the paralyzed one more easily and with much less effort when speaking. […] If your vocal cord paralysis does not resolve on its own or with therapy, your ENT specialist may recommend surgery. Your ENT surgeon places structural implants to help reposition your vocal cords. […] We work with you to understand your condition and your vocal goals so we can craft a customized treatment plan that makes the most sense for you. When therapy is needed, we develop a personalized therapy program based on your specific situation and tailored to your needs and goals. Our multidisciplinary team works alongside you for the long term to ensure that you receive comprehensive treatment and get your voice back.

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