Bilateral vocal fold immobility

Conclusion: Bilateral vocal fold immobility continues to be a challenge to treating physician and patient. When evaluating BVFI, it is important to look for and treat reversible pathology as well as significant extra-laryngeal disease. Surgical intervention is often able to establish a static glottic opening that allows a compromise between airway and voice in the absence of a tracheotomy. Because this compromise is not always satisfactory, efforts to remobilize at least one vocal fold continue, and provide the greatest promise in improving patient outcomes.