What
is vocal fold paralysis?
Vocal fold paralysis
is immobility of a vocal fold because of damage or
dysfunction of its principal nerve. This nerve travels
from the brain down the neck and into the chest before
turning upwards
back to the larynx
.
Because it passes through the neck twice, it is called
the recurrent
laryngeal nerve. The left-sided nerve
is longer than the one on the right and dips lower
into the chest,
so it is more prone to injury. As a result, the left
vocal fold is about twice as likely to be paralyzed
as the right.
Vocal fold paralysis can be unilateral (one-sided) or bilateral (two-sided). Because unilateral and bilateral paralyses have
slightly different causes, and very different symptoms and treatments,
they are best considered separately:
Unilateral
Vocal Fold Paralysis Bilateral
Vocal Fold Paralysis