Surgical options for unilateral VF paralysis

Question 1

When is injection used?

Answer 1

if no known permanent damage to RLN and if paralysis is negatively affecting voice a/o swelling

Question 2

When is thyroplasty (implant) used?

Answer 2

if over 1 yr and if permanent nerve damage has been determind

Question 3

When is injection laryngoplasty-office based used?

Answer 3

under local anesthesia via CT membrane or oral approach w/ flexible laryngoscopy, an injectable material is used to plump up the paralyzed cord so it “meets” the other

Question 4

When is injection laryngoplasty-surgical used?

Answer 4

under general anesthesia w/ direct visualization, an injectable material is used