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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.
Damage to these nerves results in vocal cord paralysis - the reduced mobility and inability to adduct one or both vocal cords. Many cases of vocal cord paralysis result from trauma during surgery. [2] Symptoms include hoarseness of voice, difficulty projecting, difficulty swallowing, and throat pain. [citation needed]
Vocal cord dysfunction (VCD) is a condition affecting the vocal cords. [1] It is characterized by abnormal closure of the vocal folds, which can result in significant difficulties and distress during breathing , particularly during inhalation .
The recurrent laryngeal nerves supply sensation to the larynx below the vocal cords, give cardiac branches to the deep cardiac plexus, and branch to the trachea, esophagus and the inferior constrictor muscles. The posterior cricoarytenoid muscles, the only muscles that can open the vocal folds, are innervated by this nerve.
Type 1 thyroplasty – Medialization of the vocal folds (most common surgery for unilateral vocal cord paralysis). Type 2 thyroplasty – Lateralization of the vocal folds (in case of airway insufficiency after Laryngeal trauma). Type 3 thyroplasty – Shortening of the vocal folds (done to lower the vocal pitch).
The site for the cordotomy is determined at the preoperative examination. If any one of the vocal fold seems to have a slightest degree of motion, then cordotomy is performed on the other one. Using CO 2 laser with a spot size of 0.2 mm and power of 3-5 Watts, a cordotomy is performed 1-2mm anteriorly to the vocal process. This is then carried ...
The external branch functions to stretch the vocal cords by activating the cricothyroid muscle, increasing pitch. The external laryngeal nerve gives branches to pharyngeal plexus and the superior portion of the inferior pharyngeal constrictor, and communicates with the superior cardiac nerve behind the common carotid artery.
Vocal fold nodules; Vocal fold cysts; Vocal cord paresis; Reinke's edema; Spasmodic dysphonia; Foreign accent syndrome; Bogart–Bacall syndrome; Laryngeal ...