In laryngeal paralysis, the stiffness of the denervated vocal fold is decreased. This leads to deviant vibratory patterns involving 2 asymmetric vocal folds and results in abnormal vocal quality. Follow-up studies of medialization thyroplasty patients have noted that decrement in vocal quality after medialization is often because of continuing vocal fold atrophy. Vocal cord atrophy from denerva...

IMPORTANCE More than half of children with bilateral vocal fold paralysis require a tracheostomy for airway management. We report an innovative, minimally invasive approach consisting of onabotulinum toxin A injection into the cricothyroid muscles. OBSERVATIONS Onabotulinum toxin A was injected under direct vision into the cricothyroid muscles of 6 pediatric patients with bilateral abductor v...

BACKGROUND Diffuse idiopathic skeletal hyperostosis (DISH) is an idiopathic spinal disease common in the elderly and characterized by flowing ossification and osteophyte formation along the spinal column. Cervical hyperostosis is capable of producing dysphagia, stridor, and airway obstruction; however, there are no extant reports of true paralysis of bilateral vocal folds in patients fulfilling...

INTRODUCTION Bilateral vocal fold paralysis is an uncommon but potentially life-threatening condition that can be very difficult to treat. Thyroidectomy remains the most common cause of bilateral vocal fold paralysis. Current treatments can be divided into two groups: static and dynamic reconstruction. The vast majority of techniques currently performed are static techniques, which often trade ...