Abstract:
Bilateral Abductor vocal cord paralysis is certainly
amongst the most emergent situation an otorhinolaryngologist
come across during his/her practice. The
treatment of this condition has undergone prominent shift
from a blind life-saving ‘‘Tracheostomy’’ to more exquisite
and promising laryngeal function preserving surgeries. The
objective of the study is to throw light on our experience of
a novel method of lateralization of vocal cord in six
patients. The procedure was found to be reliable as well as
associated with numerous advantages including shorter
operating time and lesser intra operative manipulation on
larynx. The method is less irritant (knot on outer aspect of
larynx), adjustable (knot can be tightened and loosened
accordingly) and reversible (knot can be removed if patient
recovers). Additional benefits of the practice are smooth
learning curve and economic in nature. The procedure has
also been modified from quadruple prick to triple prick
technique by us. This development further led to decreased
operative time as well as lowered risk of trauma to larynx
