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KMID : 0602820130190010005
Korean Journal of Bronchoesophagology
2013 Volume.19 No. 1 p.5 ~ p.10
Management of Bilateral Vocal Cord Palsy
Ryu In-Sun

Choi Seung-Ho
Abstract
Bilateral vocal cord palsy (BVCP) present a challenging condition which result from various etiologies including iatrogenic recurrent laryngeal nerve injury, progressive neurological disorder, intubation, trauma, tumor and idiopathic cause. Careful history taking, laryngoscopic evaluation, laryngeal EMG, and imaging studies are helpful for providing a precise diagnosis and planning appropriate treatment. BVCP causes airway restriction and not vocal dysfunction. In patients with BVFP, treatment is directed at maximizing the airway, while attempting to limit the negative effects of treatment on vocal function. A variety of surgical procedures are available for mangement of BVCP. The most conservative, limited procedure should be selected initially, and then further surgery and more extensive surgery can be tailored to the patient¡¯s airway and voice needs. This review will address the etiology, diagnosis, and managements of BVCP.
KEYWORD
Bilateral vocal cord palsy, Immobility, Surgery, Management
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