Vocal cords paralysis
The voice in a patient with bilateral abductor paralysis of larynx is: (AIIMS Nov 2011)
|C||Dysphonia plicae ventricularis|
|D||Normal or good voice|
a. Lateralization of cord by arytenoidectomy, endoscopic surgery, thyroplasty type II, cordectomy
b. In emergency cases - Tracheostomy may be required
a. Generally patients with bilateral recurrent laryngeal nerve palsy have a recent history of thyroid surgery or
rarely an advanced malignant thyroid tumor.
b. Most common presentation-Development of stridor following URI
c. Since the voice of the patient is normal\it is diagnosed very late.