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Vocal Cord Paralysis
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Vocal Cord Paralysis

Vocal cord paralysis is a medical condition that occurs when one or both vocal cords lose their ability to move normally. This paralysis can affect breathing, speaking, and even swallowing.

 

Types:

 

Unilateral paralysis: Affects one vocal cord.
Bilateral paralysis: Affects both vocal cords and is more serious as it may obstruct breathing.


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Causes

  • Nerve injury after thyroid surgery or any neck operation
  • Tumors or infections in the neck or chest area
  • Neurological conditions such as stroke or amyotrophic lateral sclerosis (ALS)
  • Unknown causes (in some cases)

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Symptoms

  • Breathy voice, hoarseness, or voice changes; weak cough
  • Weak voice or difficulty speaking for long periods
  • Swallowing difficulties and coughing while eating or drinking
  • Breathing difficulties (especially in bilateral paralysis)
  • Frequent need to take breaths while speaking

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Treatment

  • Voice therapy sessions and vocal exercises
  • Bulk injections, structural implants, nerve reinnervation
  • Partial vocal cord removal using laser to widen the airway

FAQ

❓ What is vocal cord paralysis?


🗣 It’s a condition where one or both vocal cords lose their movement, leading to difficulty speaking, breathing, or swallowing.

 

❓ What are the symptoms of vocal cord paralysis?


🗣 Persistent hoarseness, weak voice, difficulty breathing during exertion, or choking while eating or drinking.

 

❓ Is vocal cord paralysis permanent?


🗣 Not always. Some cases improve over time or with voice therapy, while others may require surgical intervention.

 

❓ What causes vocal cord paralysis?


🗣 It can result from nerve damage during neck or chest surgery, tumors, viral infections, or sometimes with no known cause.

 

❓ Can the natural voice be restored after paralysis?


🗣 In many cases, yes — especially with appropriate rehabilitation or surgery, depending on the type and severity of paralysis.

 

❓ Does vocal cord paralysis affect breathing?


🗣 Yes, particularly when both cords are paralyzed, which can lead to breathing difficulties and requires prompt evaluation.

 

❓ Are there exercises to improve voice function?


🗣 Absolutely. A speech-language pathologist can guide specific exercises to strengthen the muscles and enhance voice quality.

 

❓ When should I see a doctor?


🗣 If hoarseness lasts more than two weeks or if you experience sudden trouble swallowing or breathing, consult an ENT specialist.