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Causes, Diagnosis, and Treatment of
Vocal Cord Paralysis
Angelo Consiglio
Introduction
 Dr. Angelo Consiglio has practiced in Florida since 2005.
In that time, Dr. Angelo Consiglio has treated such vocal
disorders as vocal cord paralysis.
When the nervous system does not correctly send
messages to the larynx, the vocal cord muscles may
cease to operate properly. This can interfere with a
patient's ability to speak or sing and affects breathing and
the proper protection of the airway when the patient
swallows.
Causes of such interference include injury to the area as
a result of blunt trauma or an improperly performed
medical procedure. Other patients may suffer vocal cord
paralysis as a secondary condition to tumors of the chest,
neck, or skull base, or as a result of an infection that
affects the vagus or laryngeal nerves.
Vocal Cord Paralysis
 Diagnosis often follows a patient's report of vocal
changes, shortness of breath, or difficulty swallowing. A
physician will then examine the voice box visually and
potentially with the use of laryngeal electromyography
(LEMG), which assesses the extent of nerve disturbance.
A complete examination also helps the physician to know
whether the disorder affects one or both sides of the
larynx, a determination that in turn affects treatment
decision.
Unilateral vocal cord paralysis, which affects only one
side of the larynx, is often treatable with voice therapy,
injected medication, or surgery. Bilateral paralysis, by
contrast, most often requires surgical intervention to
correct the positioning of the affected tissue and/or
improve nerve function.

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Causes, Diagnosis, and Treatment of Vocal Cord Paralysis

  • 1. Causes, Diagnosis, and Treatment of Vocal Cord Paralysis Angelo Consiglio
  • 2. Introduction  Dr. Angelo Consiglio has practiced in Florida since 2005. In that time, Dr. Angelo Consiglio has treated such vocal disorders as vocal cord paralysis. When the nervous system does not correctly send messages to the larynx, the vocal cord muscles may cease to operate properly. This can interfere with a patient's ability to speak or sing and affects breathing and the proper protection of the airway when the patient swallows. Causes of such interference include injury to the area as a result of blunt trauma or an improperly performed medical procedure. Other patients may suffer vocal cord paralysis as a secondary condition to tumors of the chest, neck, or skull base, or as a result of an infection that affects the vagus or laryngeal nerves.
  • 3. Vocal Cord Paralysis  Diagnosis often follows a patient's report of vocal changes, shortness of breath, or difficulty swallowing. A physician will then examine the voice box visually and potentially with the use of laryngeal electromyography (LEMG), which assesses the extent of nerve disturbance. A complete examination also helps the physician to know whether the disorder affects one or both sides of the larynx, a determination that in turn affects treatment decision. Unilateral vocal cord paralysis, which affects only one side of the larynx, is often treatable with voice therapy, injected medication, or surgery. Bilateral paralysis, by contrast, most often requires surgical intervention to correct the positioning of the affected tissue and/or improve nerve function.