Modern Management of Unilateral Vocal Fold Paralysis: How We Do It

The aim of this paper was to provide a concise review of modern standards in the management of unilateral vocal fold paralysis (UVFP). This article can be used as a proposal for unilateral vocal fold paralysis treatment and as a possible indication for referral to a tertiary laryngology center. Unilateral vocal fold paralysis is a common condition, mainly caused by iatrogenic, neoplastic, or idiopathic causes. The initial treatment consists of vocal therapy with or without injection laryngoplasty. If voice impairment persists, a permanent reconstruction is usually proposed, mainly consisting of an adduction thyroplasty with or without arytenoid adduction or, to a lesser extent, laryngeal reinnervation, according to the patient’s wishes.