| | Treatment of Unilateral Adductor Vocal Cord Paralysis |
 | | In the past few decades, there has been a surge of interest in reinnervation surgery as a therapy for unilateral vocal cord paralysis. Given that the arytenoid cartilage is mobile and the ansa cervicalis has not been disrupted, reinnervation with a nerve-muscle pedicle or recurrent laryngeal nerve – ansa cervicalis anastomosis should be considered. |
 | | If there is any fixation of the arytenoid cartilages, a nerve anastomosis should not be used. This procedure cannot be performed on a patient who has had disruption of the ansa cervicalis, either by surgery, trauma, or neurological process. |
 | | When comparing the two methods of reinnervation, it is currently unclear which procedure produces the best results. Preliminary work by Hall et al. |
| www.utmb.edu /otoref/Grnds/VC-paralysis-001108/VC-paralysis-001108.htm (2459 words) |