Management of bilateral paralysis of the vocal cords

Abstract

Vocal cord paralysis is a pathology within the field of otorhinolaryngology that can progress to the point of causing interference with breathing, compromising the airway, manifesting complications such as dyspnea at rest and laryngeal stridor, especially when there is bilateral paralysis in the paramedian or intermediate position, becoming a medical emergency. The objective of this narrative review is to analyze the different treatments known for the management of bilateral vocal cord paralysis. A search was conducted in the PubMed database, including original articles, randomized studies, systematic reviews, and books in Spanish and English. The treatment of vocal cord paralysis is focused on achieving a balance between breathing and phonation, ensuring the patency of the airways and their adequate phonatory functions.