Vocal cords paralysis
In B/L, abductor palsy of vocal cords following is done except: (AIIMS Nov 2013)
|C||Nerve muscle implant|
a. In Bilateral Abductor paralysis (. bilateral paralysis of RLN), the cords lie in median or paramedian position due to unopposed action of cricothyroid muscle.
b. Since, both the cords lie in median or paramedian position, the airway is inadequate causing dyspnea and stridor.
c. Principle for managing such cases is: lateralisation of the cord and not further medialization of cord by injection ofTeflon For more details see the proceeding text.