Published on May 12, 2020
Elixir MCQ
Elixir MCQ

A 45-year-old singer presents to the hospital after sustaining a whiplash injury in a car accident two years ago and gradually recovered.  She has no remaining neurologic defects apart from a paralyzed left vocal fold and has difficulty in singing. Flexible laryngoscopy and videostroboscopy reveal a paretic left vocal fold that is displaced inferiorly with a posterior gap on sustained phonation, as well as prolapse of the cuneiform cartilage on the left. She has had no aspiration and her speaking is normal. What is the next best step in management?

1.Saline injection into the posterior 1/3rd of the vocal fold
2.Injection medialization with hyaluronic acid to the posterior 1/3rd of the vocal fold
3.Arytenoid adduction
4.Removal of the cuneiform cartilage

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