From the Guidelines
A specialist who treats paralyzed vocal cords is an otolaryngologist, also known as an ear, nose, and throat (ENT) doctor, particularly one who specializes in voice disorders or laryngology. These specialists have specific training in diagnosing and treating conditions affecting the larynx (voice box) and vocal cords. Treatment for vocal cord paralysis depends on its cause, severity, and whether it affects one or both vocal cords. Options may include:
- Voice therapy with a speech-language pathologist to improve vocal function, as noted in 1
- Injection laryngoplasty where substances like collagen or fat are injected to bulk up the paralyzed cord, as described in 1
- Medialization thyroplasty (a surgical procedure to reposition the vocal cord), as mentioned in 1
- Nerve reinnervation procedures to restore nerve function, as discussed in 1
In some cases, especially with unilateral paralysis, the condition may resolve on its own within a year, so observation might be recommended initially, as suggested in 1. The underlying cause of the paralysis, such as viral infection, injury during surgery, or neurological conditions, guides the treatment approach. Patients experiencing voice changes, breathing difficulties, or choking while eating should seek evaluation promptly as these may indicate vocal cord dysfunction, as emphasized in 1. Early referral to an otolaryngologist is recommended for evaluation and treatment, as stated in 1.
From the Research
Specialist for Paralyzed Vocal Cord Treatment
The specialist who treats paralyzed vocal cord is typically an:
- Otolaryngologist (ENT specialist) 2, 3, 4, 5, 6
- Laryngologist, a subspecialist of otolaryngology who focuses on disorders of the larynx (voice box) 2, 5, 6
Treatment Options
Treatment options for paralyzed vocal cord include:
- Injection laryngoplasty, a procedure where a material is injected into the vocal fold to improve glottic closure 2, 3, 4, 5, 6
- Voice therapy, which can be used in combination with injection laryngoplasty to improve voice quality 4
Procedure Settings
Injection laryngoplasty can be performed in different settings, including: