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Vocal cords paralysis

Question
20 out of 58
 

U/L vocal cord palsy treatment includes: (AIIMS Nov 2009)



A Isshiki type I thyroplasty

B Isshiki type II thyroplasty

C Woodmann operation

D Laser aartenoidectomy

E Teflon injection

Ans. A & E . Isshiki type I thyroplasty & Teflon injection

Ref: Dhingra Sth/ed pg 320; s/e, p 300 Logan & Turner 7 O'h/ 782,783 Combined (Complete) Paralysis (Recurrent & Superior Laryngeal nerve paralysis): Unilateral

It leads to paralysis of all the muscles of larynx on one side except the cricoarytenold? which also receive innervations from the op¬posite side. Vocal cord of the affected side will lie in the cadavaric position", The healthy cord is unable to approximate the paralysed side. This results in hoarseness of voice and aspiration occurs through the glottis.

Treatment

Speech therapy - With proper speech therapy the healthy cord may approximate the paralysed cord.

Procedures to medialise the cord

- Injection of Teflon paste, lateral to the paralysed cord?

- Thyroplasty type IQ

- Muscle or cartilage implant?

- Arthrodesis of cricoarytenoid joint (Also known as Reversed

Woodman's operation - Logan & Turner 10th/182)

Note

Woodman's operatior/' (External arytenoidectomy) is done in bilateral abductor paralysis- Logan & Turner 10th/183

Endoscopic laser arytenoidectomy & Isshiki type /I thyropiasty? is done for lateralization of cord (in bilateral abductor paralysis)"-Dhingra 5 th/318,319&362

Vocal cords paralysis Flashcard List

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