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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 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. […] 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. […] 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.

• #2 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. That’s because your vocal cords, sometimes called vocal folds, do more than just produce sound. They also protect your airway by preventing food, drink and even your saliva from entering your windpipe (trachea) and causing you to choke. […] In most cases of vocal cord paralysis, only one vocal cord is paralyzed. If both of your vocal cords are affected, you may have vocal difficulties, as well as significant problems with breathing and swallowing. […] Symptoms of vocal cord paralysis include: Breathy vocal quality, Hoarseness, Noisy breathing, Loss of vocal pitch, Choking or coughing while swallowing food, drink or saliva, The need to take frequent breaths while speaking, Inability to speak loudly, Loss of gag reflex, Ineffective coughing. […] If you have unexplained, persistent hoarseness for more than three or four weeks, or if you notice any unexplained voice changes or discomfort, see your doctor.

• #3 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. Problems with breathing, swallowing and speaking can result. 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. […] Unilateral vocal cord paralysis prevents one of your vocal cords from opening or closing correctly. When one vocal cord isnt moving as it should, you may have trouble speaking or (in more serious cases) swallowing. Breathing problems dont usually happen when only one vocal cord is paralyzed. […] Unilateral vocal cord paralysis ranges in severity from mild to severe. For instance, mild cases may make speaking difficult. In more severe cases, you may experience shortness of breath when speaking. You may cough or choke when eating or drinking.

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

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

  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 (the muscular tube that connects the throat to the stomach). Changes in voice quality, such as loss of volume or pitch, also may occur. Damage to both vocal folds, although rare, usually causes serious problems with breathing. […] 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.

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

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

  Vocal fold paralysis may be an inadvertent result of several common surgeries, listed below. These include heart and lung operations, because the principal nerve of the vocal folds (recurrent laryngeal nerve) dips into the chest before returning to the larynx. Paralysis of the vocal fold is not necessarily a sign that the nerve has been cut. The nerve may also stop working if stretched or squeezed, and sometimes after surprisingly little handling. Finally, branches of the nerve may also be damaged by the breathing tube put in for general anesthesia. […] In unilateral paralysis, the vocal folds are unable to close, which causes voice and swallowing problems. The voice is hoarse, breathy and soft, and speaking above background noise is a challenge. The pitch of the voice usually becomes difficult to control. Patients get winded when speaking, because so much air escapes through vocal folds that do not close during voicing. This is commonly mistaken, by both doctors and patients, for shortness of breath caused by a lung problem. Sometimes, muscles not usually involved in voicing will try to bring the vocal folds together, which can induce a sore neck after prolonged speaking. Occasionally, voice changes will be accompanied by coughing when swallowing. This is especially noticeable when drinking liquids.

• #6 Bilateral Vocal Cord Paralysis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK560852/

  Vocal cord paralysis refers to the immobility of a vocal cord, which can be due to pathology of the vocal ford (also known as the vocal fold) itself, or of the verve that supplies the muscles creating vocal cord motion. […] The presentation and symptoms will depend upon the underlying etiology of the bilateral paralysis and the resultant position of the vocal cords. If the cords are paralyzed in a more median position, stridor and breathing symptoms may predominate (or the patient may be asymptomatic) while the voice may be normal, and no aspiration events will occur. If the vocal cords are paralyzed in a more lateral position, the airway will be widely patent and unable to close. This may present with significant voice complaints of breathiness and potential aspiration or choking, but with far fewer breathing or stridor complaints.

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

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

  With bilateral vocal cord paralysis, your vocal cords may get too close together, making it difficult to breathe. Your swallowing can also be affected. Food or drink can slip into your windpipe and lungs, causing aspiration pneumonia. […] Symptoms depend on the extent of the paralysis and the position of your vocal cords in relation to each other. Symptoms may include: A voice that sounds hoarse, weak, scratchy or breathy. Shortness of breath (dyspnea) or losing your voice. Noisy breathing (wheezing or a raspy sound). Trouble swallowing (dysphagia). Choking when you try to swallow. […] Many people with vocal cord paralysis can still speak, but it may require more effort. You may notice changes in how your voice sounds. You may get winded when you talk. If your paralysis is more severe, you may lose your voice.

• #8 Bilateral Vocal Fold Paralysis | Atrium Health Wake Forest Baptist

  https://www.wakehealth.edu/condition/b/bilateral-vocal-fold-paralysis

  Bilateral vocal fold paralysis is a disorder characterized by complete immobility of both vocal folds. […] Symptoms of bilateral vocal fold paralysis are highly variable depending on the position of the paralyzed vocal folds. For example, if the vocal folds are fixed in the paramedian (almost closed position), patients often have a normal voice, but may present with inspiratory stridor, and in some cases, respiratory failure due to airway obstruction. […] If the vocal folds are fixed in a more open position, the airway may be preserved, but the patient may experience a severely breathy, weak voice or complete voice loss.

• #9 What Affects Vocal Cord Paralysis? The Impact of Injury and Certain Health Conditions

  https://www.webmd.com/brain/what-to-know-vocal-cord-paralysis

  Vocal cord paralysis symptoms can range from mild to severe. They include: […] You might notice slight changes in your voice that may seem to be caused by allergies or a cold. The severity of your symptoms will also depend on how your voice box adapts to the degree of paralysis. […] Hoarseness in your voice […] Breathy voice changes […] Shortness of breath […] Noisy breathing […] Difficulty swallowing […] Choking or coughing when you eat […] Other symptoms include: […] Frequent breaths while speaking […] Inability to talk loudly […] Loss of gag reflex […] Frequent throat clearing.

• #10 Vocal Cord Paralysis – Ear, Nose, and Throat Doctors in Rowlett, TX

  https://www.mynorthtexasent.com/vocal-cord-paralysis/

  Symptoms of paralysis and paresis of the vocal cords can include: […] 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 cause, your symptoms may resolve with time or persist.

• #11 Vocal cord paralysis: Causes, diagnosis, and treatment

  https://www.medicalnewstoday.com/articles/188993

  Vocal cord paralysis, also known as vocal cord paresis, is the inability of one or both vocal cords (vocal folds) to move. […] Patients with vocal paralysis typically experience hoarseness, vocal fatigue, mild to severe reduction in speech volume, a pain in the throat when speaking, and swallowing things down the wrong way and choking. […] Individuals with vocal cord paralysis may find the effectiveness of coughing, swallowing or sneezing in removing laryngeal area waste is undermined reduced vocal cord mobility. This may result in accumulations in the area, allowing for bacterial and viral colonization, and subsequent infections and throat discomfort. […] Most cases of vocal cord paralysis involve just one cord being paralyzed. However, sometimes both are affected, and the patient is likely to experience swallowing as well as breathing difficulties.

• #12 Vocal cord paralysis: Causes, diagnosis, and treatment

  https://www.medicalnewstoday.com/articles/188993

  Potential signs and symptoms of vocal cord paralysis include: Changes to the voice it may become more breathy, like a loud whisper; Hoarseness, huskiness; Noisy breathing; Changes to vocal pitch; Coughs that do not clear the throat properly; When swallowing solids or liquids, the patient might choke (including saliva sometimes); While speaking, the sufferer may have to catch their breath more often than usual; Voice volume may be affected the patient may not be able to raise their voice; Pharyngeal reflex (gag reflex) may be lost the pharyngeal reflex is a reflex contraction of the back of the throat, evoked by touching the soft palate. It prevents something from entering the throat except as part of normal swallowing and helps prevent choking. […] If symptoms are severe enough the patient can have serious, life-threatening breathing problems. […] Because there is paralysis in the area where food or liquid may go down the wrong way (aspiration), there is a risk of choking. Aspiration can lead to severe pneumonia.

• #13 What Is Vocal Cord (Fold) Paresis and Paralysis? – Nevada ENT

  https://nevada-ent.com/throat/what-is-vocal-cord-fold-paresis-and-paralysis/

  Vocal fold (or cord) paresis and paralysis result from abnormal nerve input to the voice box muscles (laryngeal muscles). Paralysis is the total interruption of nerve impulse, resulting in no movement; paresis is the partial interruption of nerve impulse, resulting in weak or abnormal motion of laryngeal muscles. […] Both paresis and paralysis of voice box muscles result in voice changes and may also result in airway problems and swallowing difficulties. […] Voice changes: Hoarseness; breathy voice; extra effort on speaking; excessive air pressure required to produce usual conversational voice; and diplophonia (voice sounds like a gargle). […] Airway problems: Shortness of breath with exertion, noisy breathing, and ineffective cough. […] Swallowing problems: Choking or coughing when swallowing food, drink, or even saliva, and food sticking in throat.

• #14 Vocal Cord Paralysis

  http://www.drrobertoliver.com/what-we-do/voice-disorder/vocal-cord-paralysis

  Vocal fold paresis/paralysis can happen at any age from birth to advanced age, in males and females alike, from a variety of causes. […] Both paresis and paralysis of voice box muscles result in voice changes and may also result in airway problems and swallowing difficulties. […] Voice changes: Hoarseness (croaky or rough voice); breathy voice (a lot of air with the voice); effortful phonation (extra effort on speaking); air wasting (excessive air pressure required to produce usual conversational voice); and diplophonia (voice sounds like a „gargle”). […] Airway problems: Shortness of breath with exertion, noisy breathing (stridor), and ineffective or poor cough. […] Swallowing problems: Choking or coughing when swallowing food, drink, or even saliva, and food sticking in throat.

• #15 Vocal Cord Paralysis | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/vocal-cord-paralysis

  Vocal cord paralysis may cause any or all of the following symptoms: […] Hoarse, weak, or lost voice. […] Problems swallowing, including choking, coughing, or both. Another term for this is when foods go down the wrong pipe. Sometimes, this can lead to shortness of breath or pneumonia. […] Weak cough, including not being able to cough up mucus after trying. […] Shortness of breath during exercise. […] Sometimes, the paralyzed vocal cord gets better without any treatment. In other cases, the uninjured, moving vocal cord takes over for the vocal cord that’s paralyzed. This usually happens within the first year. Sometimes, the vocal cord is permanently paralyzed.

• #16 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 can affect one or both of the vocal cords. Unilateral paralysis affects a single vocal cord, making it difficult to speak and, in some cases, swallow. Bilateral paralysis affects both vocal cords, often resulting in difficulty breathing. […] Symptoms can vary from person to person, but they often include: Change in voice including hoarseness, scratchiness or breathy character, Pitch change in your voice, Noisy breathing that may be raspy or wheezy, Inability to project your voice loudly, Shortness of breath while talking, Coughing or choking while swallowing food or drinks, Difficulty clearing throat by coughing. […] Its also common for symptoms to vary throughout the day. You may feel like your voice is strong in the morning but becomes weak as the day goes on.

• #17 Vocal Cord Paralysis – Ear, Nose, and Throat Disorders – Merck Manual Consumer Version

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

  Vocal cord paralysis is the inability to move the muscles that control the vocal cords. […] Typical symptoms include voice changes and possible difficulty breathing. […] Vocal cord paralysis prevents the vocal cords from opening and closing and may affect speaking, breathing, and swallowing. Paralysis may allow food and fluids to be inhaled (aspirated) into the windpipe (trachea) and lungs. […] If only one vocal cord is paralyzed, the voice is hoarse and breathy. Usually, the airway is not blocked because the normal cord on the other side opens sufficiently. […] When both vocal cords are paralyzed, the voice is reduced in strength but otherwise sounds normal. However, the space between the paralyzed cords is very small, and the airway is inadequate so that even moderate exercise causes difficulty in breathing and a harsh, high-pitched sound (stridor) with each breath.

• #18 Bilateral Vocal Cord Paralysis Causes, Symptoms, & Treatment

  https://throatdisorder.com/breathing-disorders/bilateral-vocal-fold-paralysis/

  Bilateral vocal cord paralysis occurs when both vocal folds are unable to move. […] Patients with bilateral vocal fold immobility may complain of: Shortness of breath, Noisy breathing, Normal voice and sometimes altered voice. […] Most commonly the vocal folds remain fixed in a near closed position, preventing the breathing in and out large amounts of air. Patients complain of shortness of breath with exertion, such as walking up stairs. […] The challenge in treating patients with bilateral vocal fold immobility is the following. As the size of the airway is increased, a patients voice and ability to swallow worsen.

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

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

  Vocal cord paralysis occurs when one or both vocal cords are not able to move. Your vocal cords are two elastic-type bands found in your larynx (voice box), at the top of your trachea (windpipe). The damaged vocal cords remain frozen or stuck, so they do not open and close as they should. […] Vocal cord paralysis can have an impact on your health as well as your daily life. This ailment can make it hard to speak, swallow, or breathe. The effect can hinder the way you express yourself to others at home, at work, and socially. […] Generally, the condition does not cause feelings of pain in your vocal cords, you will likely notice a range of different sensations that affect normal breathing: Difficulty swallowing or choking while swallowing, A sensation that your food or drink is going down your windpipe, Dyspnea (difficulty breathing), A feeling of breathlessness when you talk or exercise, Fatigue from exerting to draw more air into your lungs to achieve a voice, Persistent mucous in your throat that doesn’t clear, leading to frequent throat clearing.

• #20 Vocal cord paresis – Wikipedia

  https://en.wikipedia.org/wiki/Vocal_cord_paresis

  Vocal cord paresis, also known as recurrent laryngeal nerve paralysis or vocal fold paralysis, is an injury to one or both recurrent laryngeal nerves (RLNs), which control all intrinsic muscles of the larynx except for the cricothyroid muscle. The RLN is important for speaking, breathing and swallowing. […] A unilateral injury of the nerve typically results in hoarseness caused by a reduced mobility of one of the vocal folds. It may also cause minor shortages of breath as well as aspiration problems especially concerning liquids. A bilateral injury causes the vocal folds to impair the air flow resulting in breathing problems, stridor and snoring sounds, and fast physical exhaustion. This strongly depends on the median or paramedian position of the paralyzed vocal folds. Hoarseness rarely occurs in bilaterally paralyzed vocal folds.

• #21 Vocal Cord Paralysis ENT Surgeon Sydney | My ENT Specialist

  https://myentspecialist.com.au/vocal-cord-paralysis/

  The exact symptoms depend on which nerves are affected and whether they are affected on one side (Unilateral Vocal Cord Paralysis) or both sides (bilateral vocal cord paralysis). […] Unilateral vocal cord paralysis symptoms can range from mild to severe. Most of the problems are caused because the vocal cords are unable to close tightly together for speech. […] Symptoms include: Hoarseness, Inability to speak loudly, Breathiness of the voice, Voice that tires easily, Decreased vocal range, Choking or coughing while eating, Aspiration pneumonia (if food or liquid reaches the lungs). […] Bilateral Vocal Cord Paralysis is less common, but when it occurs it can be fatal unless treated promptly. The main symptom is difficulty breathing, often with a noisy whistling type of breathing called stridor.

• #22 Bilateral Vocal Cord Paralysis – MD Searchlight

  https://mdsearchlight.com/ear-nose-and-throat/bilateral-vocal-cord-paralysis/

  Vocal cord paralysis means the vocal cord cant move, while vocal cord paresis means the vocal cords movement is impaired. These conditions can be due to issues inside the vocal cord itself (such as scars or tumors), nerve problems from specific nerves that control vocal cord movement, brain problems (like stroke, tumor, or multiple sclerosis), or general body diseases (like ALS or Guillain-Barre syndrome). Vocal cord paralysis is typically one-sided, but in this case, were talking about the less common condition where both vocal cords are paralyzed. […] The symptoms a patient feels will depend on why their vocal cords are paralyzed and what position they are stuck in. If the cords are stuck in a central position, the patient might have trouble breathing, no symptoms at all, or have a normal voice and dont experience food or drink entering their lungs. But if the cords are stuck in a more outward position, the patients airway remains open and they might complain about a breathy voice, potentially experience choking, but typically have less breathing difficulties.

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

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

  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. The symptoms of vocal cord paralysis are usually very treatable, though theres no quick fix. 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.

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

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

  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. You may also feel that treatment improves your swallowing and breathing. […] Many cases of vocal cord paralysis can improve by themselves with time. Voice therapy and sometimes filler injections can help make your symptoms better while waiting for your vocal cords to recover. If your vocal cord is permanently paralyzed, an implant to keep your vocal cord in place is the treatment of choice. Rarely, your provider may need to readjust the implant if it moves out of place. […] With treatment, many people regain the ability to talk and swallow after vocal cord paralysis. Your prognosis depends on several factors, including whether the paralysis affected one or both vocal cords and if its mild or severe.

• #25 Vocal cord paresis – Wikipedia

  https://en.wikipedia.org/wiki/Vocal_cord_paresis

  Vocal fold paresis refers to a partial loss of input to the nerve of the vocal folds. This loss of neural input leads to reduced vocal fold mobility. It is a condition with a variable profile, as the severity of the paresis can range on a wide continuum from minor to major loss of vocal fold mobility. Vocal fold paralysis, distinguished from vocal paresis, is the total loss of vocal fold mobility due to a lack of neural input to the vocal folds. These conditions result from continuous damage to the laryngeal nerves and often lead to vocal disability. […] Due to its variable nature, the progression of vocal fold paresis may fluctuate, so it may be characterized differently from one evaluation to the next. Fluctuating vocal fold paresis has been observed in neurodegenerative disorders like Guillain-Barr syndrome or myasthenia gravis.

• #26

  https://www.portea.com/physiotherapy/vocal-cord-paralysis/

  A vocal cord paralysis is not the end of life, and in fact, you can continue to enjoy living a fully functional life after surgery. If you have mild vocal cord paralysis, you may not be able to sing or do voice-based tasks that well but with a bit of practice and regular physiotherapy exercises, your voice box will be back on its feet.

• #27 Vocal Cord Paralysis – Vocal Cord Paresis | Voice Clinic Dr. Wohlt

  https://www.wohlt.com/vocal-cord-paralysis/

  Generally, the mobility of the paralyzed vocal fold can be expected to return within six months. […] However, this time interval is not limited to six months. Indeed, patients would wait a year for their vocal fold mobility to return, although the probability decreases with increasing duration of the disease. […] A 46-year-old elementary school teacher had undergone surgery for a suspected malignant disease of the thyroid gland. Immediately after surgery, she noticed a marked hoarseness in her voice. It was breathy, soft, almost inaudible. […] Moreover, she also sensed a marked shortness of breath. After speaking just a few words, she would have to gasp for breath and likewise had trouble during physical exertion. […] The woman was initially advised to start an intensive regimen of voice exercises to be practiced three times a day. After four weeks at her follow-up exam, it was discovered that the mobility of her diseased vocal fold had improved. Over the further clinical course, voice therapy resulted in complete reinstatement of her vocal fold mobility. At two months follow-up, the patient reported that her vocal limitations had all disappeared. The quality of her voice was as good as before thyroid surgery, she no longer experienced any shortness of breath or swallowing difficulties.

• #28 Reddit – The heart of the internet

  https://www.reddit.com/r/mildlybrokenvoice/comments/k8bie6/i_was_just_diagnosed_with_unilateral_vocal_cord/

  About 4 weeks ago, I caught a cold. It was typical except for the „laryngitis” that came along with it. […] However, after two weeks, the cold was gone, but the voice loss remained. […] I saw a different doctor at the clinic who examined my vocal cords with a camera and saw that one of them wasn’t moving. […] I went to the hospital to have it diagnosed, and the said I have unilateral vocal fold paralysis. […] After looking at information online about recovery rates, I have little hope in fully recovering my voice. […] My career is in teaching, and thus far it has been nearly impossible to teach without a voice. […] I’m having trouble getting past the depression stage of this, and I still feel angry and irritable. […] From what I’ve seen online, there seems to be a few treatments, including injections to move the paralyzed fold over, and even attaching different nerve to reinnervate it.

• #29 Bilateral Vocal Cord Paralysis – MD Searchlight

  https://mdsearchlight.com/ear-nose-and-throat/bilateral-vocal-cord-paralysis/

  In children of all ages with bilateral vocal cord paralysis, theres a 48% to 62% chance of their vocal cords spontaneously recovering. However, the childs overall health and accompanying medical issues significantly affect their recovery chances. […] If both vocal cords are paralyzed, its less likely for a complete spontaneous recovery compared to if only one vocal cord is paralyzed. […] The recovery of the glottic function, which is responsible for sound production, largely depends on the root cause of the problem. The chances of full recovery also rely heavily on the overall prognosis or outlook of this root cause.

• #30 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). This can increase your risk of aspiration pneumonia. This condition involves the inflammation and infection of your lungs or large airways. It is a life-threatening illness that causes choking that can lead to death. […] 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. Other factors, including your age, underlying conditions, and psychological perspective can impact the effect that this problem has on your physical and mental well-being.

• #31 A Case of Vocal Cord Paralysis – Beverly Hills Speach Therapy

  https://beverlyhillsspeechtherapy.com/blog/a-case-of-vocal-cord-paralysis/

  Vocal cord paralysis, for a patient, can be uncomfortable. Patients who experience this may have difficulty projecting their voice, vocal cord fatigue, and hoarseness. Changes in vocal quality may indicate a type of vocal cord disorder, therefore, a doctor can perform an endoscopy to see the vocal cords and determine a diagnosis. […] The symptoms of vocal cord paralysis can include: Hoarseness or breathiness of the voice, An inability to raise the voice or speak above a whisper, Changes in vocal tone or pitch, Being out of breath, Difficulty in swallowing solids or liquids. […] The patient had been experiencing a hoarse voice and found it difficult to project. Their voice got tired when speaking for long periods of time. […] After the 6-week treatment plan, the patients voice showed marked improvement. His voice was noticeably less hoarse. […] The patients left vocal cord gained an increased range of motion; after six weeks it doesnt even appear to be paralyzed.

• #32 Vocal Cord Paralysis, Unilateral – Causes, Symptoms, Treatments

  https://laryngopedia.com/vocal-cord-paralysis-unilateral/

  Unilateral vocal cord paralysis is the neurogenic inability of one vocal cord to move. It is associated with weak voice of a degree that can vary between individuals. […] Other symptoms may include: Weak, air-wasting dysphonia The voice may be breathy, weak, double-pitched, or manifest luffing. The person may only be able to say a few words on a breath or be unable to project the voice in noisy places. […] A tendency of the voice to be somewhat stronger in the morning but to fade with use. […] A tendency to cough when drinking thin liquids. […] This older man underwent thoracic surgery but due to complications was also intubated for much of two days. Immediately upon awakening, his voice was altered. He said it was whisper only. […] At his original office visit a month later, he thought his voice had improved to 10% and examination showed left vocal cord paralysis (TA, LCA, and PCA muscles all non-functional). Three months later, his voice was by his description to 40% and improving further week by week. By month 8 post-surgery, verified at 18 months, he felt his voice was 99% recovered; examination showed recovery of TA and LCA, but not PCA muscle. […] The final diagnosis: Left PCA-only paresis. Rather than being entirely out, the PCA seems only to be weak.

• #33 Reddit – The heart of the internet

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

  I had injection surgery to my vocal folds last year in April and I guess it made a difference but theyve completely dissolved now. […] I think after a year and a half my voice is maybe 75% back to normal on its own, but I still cant get loud or use a high range in my voice so it sounds flat/unemotional. […] 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.

• #34 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 this happens, there is a gap between the vocal cords (glottic gap), which can impact your child’s ability to speak and even to breathe. […] Unilateral vocal fold paralysis may lead to: A breathy, weak voice, A weak cry in babies, Aspiration of liquids into the windpipe (trachea), Noisy breathing (stridor). […] Some children may have improvement in their vocal cord movement over time, and some have improvement in the voice from compensation of the opposite vocal cord, where the vocal cords are able to contact one another. This improves the voice and swallowing and in most cases no further treatment is needed. […] Some children with vocal cord paralysis will not have any related voice or swallowing issues and will have normal quality of life without treatment. However, in other children who do not undergo treatment for vocal cord paralysis, there is a significant impact on the ability to communicate: It may be hard to hear your child speak or to understand her due to a raspy or breathy-sounding voice.

• #35 Vocal Fold Paralysis

  https://www.asha.org/public/speech/disorders/vocal-fold-paralysis/?srsltid=AfmBOoqDwUorOXyn8Ypy7MQLyuUDMr65Ipw9dctztumH52HjHfzG85Sy

  Your vocal folds are inside your larynx, or voice box. When you talk, air moves from your lungs through the vocal folds to your mouth. The vocal folds vibrate to produce sound. Anything that makes it harder for the vocal folds to vibrate can cause a voice problem. Vocal fold paralysis happens when one or both vocal folds are not able to move. It can also cause breathing and swallowing problems. […] Unilateral vocal fold paralysis is when only one fold will not move or only moves a little bit. It is more common than bilateral paralysis. The paralyzed vocal fold does not vibrate with the other fold. The persons voice will not sound clear or loud. They may run out of air when speaking. […] Vocal fold paralysis can cause problems that are mild or severe. Some signs include: Hoarseness, Breathy voice, Being unable to speak loudly, Limited pitch and loudness, Being able to produce voice for a very short time, Choking or coughing while eating, Possible pneumonia if food and liquid get into the lungs. This may happen if the vocal folds cannot close to protect the airway while swallowing.

• #36

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

  Vocal fold paralysis is less common than the first two groups of disorders. It usually involves paralysis of one vocal fold, and results in inability to close the vocal folds completely. If the vocal folds do not close completely, the voice is weak and hoarse and there may be choking on swallowing due to food or liquids going into the windpipe. […] […] Hoarse voice […] Weak, breathy voice […] Loss of pitch control […] Choking or coughing especially on drinking liquids. […] […] Sometimes recovery occurs by itself and no action is needed. Depending on the cause of paralysis this may take up to a year. While waiting for the nerve to recover, speech therapy or an injection to bulk up the paralysed vocal fold may be helpful. […] […] 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.

• #37 Vocal Cord Paralysis | Henry Ford Health – Detroit, MI

  https://www.henryford.com/services/voice/vocal-cord/treatments/paralysis

  Vocal cord paralysis is a voice disorder that occurs when one or both of the vocal cords (or vocal folds) do not open or close properly. Symptoms can range from mild to life threatening if there is an airway obstruction. […] Symptoms usually include changes in voice quality. If only one vocal cord is affected, the voice is usually hoarse or breathy, and patients often choke on liquid (known as aspiration). Paralysis to both vocal cords usually causes people to have difficulty breathing because the air passage through the larynx is blocked. […] Following any procedure, the patient may need voice therapy to regain the strength of their vocal cords and speech.

• #38 Bilateral Vocal Cord Paralysis | Symptoms, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/b/bvcp

  A newborn can have a high-pitched sound that worsens when the child gets upset or cries; this is called stridor. […] Usually infants have trouble breathing, and may turn blue or have pauses in breathing. […] The child may have frequent pneumonias because liquids and / or food go into the airway and the child is unable to cough well (also called aspiration). […] The child may choke or cough during feedings.

• #39 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. […] Treatment of vocal cord paralysis depends on the cause, how serious the symptoms are and when symptoms began. […] 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. […] Vocal cord paralysis can be frustrating and affect your daily life. It can be hard to communicate with other people. […] 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 Vocal Cord Paralysis: Causes, Symptoms & Treatment

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

  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. Seek care immediately if youre having trouble breathing or swallowing. Not getting enough air is a sign of bilateral vocal cord paralysis, the most serious type.

• #41 Vocal Cord Paralysis Treatment New York & Manhattan NY

  https://www.newyorkent.com/ent-conditions/voice-swallowing/vocal-cord-paralysis/

  Symptoms that may warrant a consultation with ear, nose and throat specialists with New York ENT may include: […] Problems when swallowing food or drink […] Changes in voice pitch or sound quality (hoarseness) […] Shortness of breath or noisy breathing.

• #42 Is Vocal Cord Paralysis Treatable? – New York ENT – NYC Throat Doctors

  https://www.newyorkent.com/2018/08/22/is-vocal-cord-paralysis-treatable/

  Vocal cord paralysis typically causes symptoms that involve your ability to speak, breathe and swallow. Many cases only affect one vocal cord, although both vocal cords can be affected in rare cases. When both vocal cords are paralyzed, you can experience severe breathing problems and other serious complications. Symptoms that can occur in milder cases of vocal cord paralysis include the following: […] You should have your vocal cords examined if you have any of these symptoms or any other sudden changes that affect your voice or your ability to swallow. Keep in mind that this condition can be mild, but it can also lead to serious complications, such as accidentally inhaling drinks or foods. In rare cases, this inhalation can result in pneumonia.

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

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

  Vocal cord paralysis symptoms will vary by the cause and whether one of both of your vocal cords are affected. You may experience one or more of the following: hoarseness or complete loss of speaking ability […] difficulty swallowing […] breathing difficulty […] inability to raise your voice in volume […] changes in the sound of your voice […] frequent choking while eating or drinking […] noisy breathing. If you notice those symptoms or you detect any significant changes in your speech pattern and the quality of your voice, contact an ear, nose, and throat doctor for an evaluation. If youre choking because of paralyzed vocal cords, you may not be able to dislodge a trapped object or breathe. If youre choking and cant speak, contact emergency medical assistance immediately. […] If you have vocal cord paralysis, recovery will depend on the cause. For some people, voice exercise one to two times a week for four to six months can correct the condition enough for speaking and swallowing normally. While voice exercise may not repair paralyzed vocal cords, you may be able to learn methods of breathing and speaking that allow you to communicate with your voice. If your paralyzed vocal cords require surgery, recovery may look different. You may need to rest for 72 hours, being careful not to use your voice at all during that time, as your larynx begins the healing process. Two or three days of drainage from the site of the wound is normal, though its important to watch carefully for any strange colors or smells that could indicate infection. 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.

• #44 Vocal Cord Paralysis Overview: Symptoms, Diagnosis, & Treatments | IFAR

  https://www.advancedreconstruction.com/head-neck/vocal-cord-paralysis

  Usually (but not always), only one vocal cord becomes paralyzed. If partial or complete paralysis is present, you may experience the following symptoms: Hoarse or breathy voice […] Shortness of breath […] Loss of vocal pitch […] Choking or coughing while eating or drinking […] Inability to speak loudly […] Loss of gag reflex […] Unproductive coughing or frequent throat clearing. If both vocal cords are paralyzed, this is considered a true medical emergency and may require a tracheotomy.

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