We describe a novel surgical technique in two neonates with idiopathic bilateral vocal fold immobility (BVFI) using early posterior cricoid distraction with placement of a poly-l-lactic acid (PLLA) bioresorbable plate to improve the glottic aperture. Both patients experienced complete resolution of stridor and achieved full oral feeding within 2 weeks, avoiding the need for tracheostomy or gastrostomy tube placement.
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Hyzer et al. (2026) studied this question.
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