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Avalanche
Feb 2, 2007
Medical person here that used to work in a specialty that dealt with these kinds of issues on a daily basis:


Why are your vocal cords paralyzed?

Is it unilateral or bilateral vocal cold paresis/paralysis? Does one move better than the other? Someone should of told you this at some point.

If one does move better than the other, has anyone looked into botox injections at a high quality university setting like Stanford ENT/Speech for you? Sometimes if you add bulk to one side, you can get enough contact to allow for near full vibration for voicing.


Also something to try that's low cost would be an electrolarynx (little cylinder you place up to your neck that vibrates allowing you to 'mouth sounds' to get an 'ok' amount of intelligibility) but I would see a speech therapist first to see if it's even a viable option as I don't know why you have a VF paralysis and if you have any other issues like restricted range of motion with your upper extremities, difficulty fully opening/closing your mouth, any difficulty with tongue range of motion, dentition/other oral or pharyngeal anatomical issues, etc. that might make an electrolarynx not a good idea.

There's also intraoral electrolarynx's, but there's only 1 company that makes em, requires the creation of a custom made oral appliance like a retainer so it can fit between your maxillary/mandibular teeth, and there's little research on their efficacy aside from random case studies.

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