Vocal cords paralysis treatment
Vocal folds paralysis is damage to the muscles responsible for voice formation. It is usually caused by tumours, injuries, or nerve damage. Typically the disease begins with voice changes and possible breathing difficulty. Doctors try to eliminate the causes of vocal cords paralysis and often perform a surgical intervention.
Vocal cord paralysis on one side can result from brain disorders such as brain tumours, stroke, multiple sclerosis, and damage to the nerves leading to the larynx. The voice becomes rough and hoarse if only one vocal fold is affected. However, the trachea is usually not blocked because the healthy vocal cord opens adequately on the other side.
At the same time, bilateral vocal fold paralysis is life-threatening because the vocal cords cannot open sufficiently to allow enough air to pass through. Possible causes of such paralysis include spinal surgery through the front of the neck, surgical removal of the thyroid gland, tracheal intubation, and pathology of the nerves and muscles (such as myasthenia gravis ).
The diagnosis of vocal cord impairment relies on a laryngeal endoscopy. A laryngoscopy examines the larynx using a thin, flexible viewing tube. Additional investigations may include the following:
- MRI or computed tomography (CT) scan of the head and neck;
- Neck ultrasound examination;
- X-ray of the oesophagus (barium intake).
In the case of unilateral paralysis (single-side disease), the specialist can surgically place the paralyzed vocal fold in the best position for a more natural way of speaking (thyroplasty).
An alternative to surgical treatment is to inject a drug into the paralyzed vocal cords to bring the vocal cords closer together, improve voice, and prevent food aspiration.
Where can I get Vocal cords paralysis treatment?
What are the best clinics for Vocal cords paralysis treatment?
Who are the best doctors for Vocal cords paralysis?
Prof. Dr. med. Barbara Wollenberg from University Hospital rechts der Isar Munich
Prof. Dr. med. Markus Suckfull from Academic Hospital Martha-Maria Munich
Prof. Dr. med. Markus Jungehulsing from MEOCLINIC Berlin
Prof. Dr. Sami Katircioglu from Memorial Sisli Hospital Istanbul
Prof. Dr. med. Jan Maurer from Academic Hospital Koblenz-Montabaur