Overview
Introduction
Vocal fold paralysis, also called vocal cord paralysis, occurs when motor signals to one or both vocal folds are reduced or absent, usually somewhere along the vagus or recurren...
Vocal fold paralysis, also called vocal cord paralysis, occurs when motor signals to one or both vocal folds are reduced or absent, usually somewhere along the vagus or recurrent laryngeal nerve pathway. The clinical pattern depends on whether one fold or both are affected: unilateral disease commonly produces a weak, breathy voice and impaired airway protection, while bilateral disease can leave only a narrow glottic opening and threaten ventilation. The nurse makes the first priority decision by assessing breathing and secretion handling rather than focusing only on the voice. After immediate airway concerns are addressed, evaluation must confirm true immobility, assess swallowing safety, and search the involved neural pathway for a reversible or serious cause.