What intervention is typically required for bilateral vocal fold paralysis?

Bilateral vocal fold paralysis occurs when both vocal folds are unable to move properly, which can lead to serious issues with breathing, phonation (the production of sound), and swallowing. The intervention that is often necessary in these cases is surgical intervention, as it is typically required to create more effective airway passage, improve voice quality, or restore some level of vocal fold function.

Surgery may involve procedures such as medialization thyroplasty or various laryngeal reinnervation techniques aimed at repositioning the vocal folds to facilitate better closure or movement. Often, speech therapy may be part of the overall treatment plan following surgery to help the patient regain vocal function, but the most pressing need in cases of bilateral vocal fold paralysis is usually addressed through surgical means, especially when there are significant concerns related to airway management.

While other options like medication or voice rest may have their roles in vocal health and treatment, they do not directly address the underlying mechanical issue posed by bilateral paralysis.