Decision points in the management of vocal fold paralysis
Conclusion: An assessment of certain simple aspects of each case of vocal fold paralysis, combined with a choice of surgical techniques, allows the development of a rational treatment strategy that approaches the ideal proposed in the introduction. There is no doubt that it could be further refined by additional information regarding the natural history of vocal fold paralysis, which, in many respects, remains poorly defined despite more than a century of clinical study. More sophisticated electrodiagnostic techniques, combined with a better understanding of laryngeal neurophysiology, is needed to understand the phenomenon of inappropriate reinnervation in the larynx and its clinical implications. © 2006 Springer-Verlag Berlin Heidelberg.
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