Validation of a vocal cord lateralization procedure

Various corrective procedures have been described to move the midline paralyzed vocal cord laterally in order to create a more desirable air exchange position. They have been complicated and often unsatisfactory, even for the skilled operator. A newer, direct approach by direct laryngoscopy, including incision and debulking of the paralyzed vocal process, as first reported by Fernando Kirchner, M.D. is described. The direct laryngoscopic method permits easier accessibility for this problem. In three involved surgical cases discussed, the air exchange in each was improved. The patients have continued to have good functional voices and no longer require tracheostomy.