Neurologic voice disorders range from vocal cord paralysis and paresis to spasmodic dysphonia and tremor. Treatment may be surgical, office-based, or both — and often the best outcome comes from combining approaches.
Surgical Procedures
Medialization Laryngoplasty
Implant-based medialization · restoring glottic closure in paralysis · office injection vs. OR procedure
Reinnervation
Nerve grafting to restore tone and bulk · ansa cervicalis to RLN · long-term voice quality
Denervation with Reinnervation
Combined DeRe procedure for spasmodic dysphonia · RLN section with immediate nerve graft
Office Procedures
Injection Augmentation
Office or surgical injection to medialize a paretic cord · materials and technique · temporary vs. permanent
Botulinum Toxin Injection
Spasmodic dysphonia · adductor & abductor types · the art of a precise injection result