Medbridge VF paralysis and paresis

What is the primary timeline that you can assume spontaneous return to function in VF paralysis is not going to happen?

one year

2 surgical procedures the ENT can do to assist with voice

VF augmentation

Medialization thryoplasty

Why is SLP tx recommended prior to surgery in VF paralysis?

a. Can improve symptoms preoperatively

b. Gives therapy options in improving subsystems instead of patients using maladaptive behaviors

What are some things that may impact if a Pt has a vocal cord injection vs direct speech therapy with an SLP?

a. Symptoms- breathiness or throat clearing?

b. Surgical aversions

c. Closure- therapy less likely to have effect if VF gap is big

Voice procedures following surgical ENT intervention

no vocal rest, therapy can start in one week

direct vs indirect voice therapy

a. Direct: directly alters physiology of voice

b. Indirect: addresses vocal fold tissue health

2 ways VF paralysis can manifest

difficulties with open/close (RLN- more common)

or elongating/shortening

Schneider, 2019 discusses 4 behavior options to optimize subsystems- what are they?

a. SOVT

b. RVT

c. VFEs

d. CTT

2 other therapy options for VF paralysis

a. Phonation Resistance Training Exercise (PhoRTE)

b. Expiratory muscles strength training (EMST)