[The update: treatment of unilateral recurrent paralysis]

Management of unilateral recurrent palsies is under review since the late 5 years. Intracordal injection of Teflon has been the best option from the 70s onward. With the arrival of other substances the question about which of them offers the most confident results is open. Nowadays the reinnervation of the larynx either with nerves of the neighbourhood or neuromuscular pedicles takes a preferential place. A group of AA. are proposing the so called "laryngeal framework surgery", that is to say, the surgery done with elements surrounding the larynx, as elective treatment. This paper exposes the several techniques and its particularities in order to present a panoramic view of the therapeutical issues of recurrential unilateral paralysis.