The literature indicates that bilateral vocal fold immobility (BVFI) will frequently occur after thyroid surgery (25.7%), followed by endotracheal intubation (15.4%), brain stroke (12.8%), and chemoradiotherapy (1.7%).[1] Several operations to eliminate the dyspnea and the resultant tracheostomy will often result in impaired voice quality and aspiration subsequently.
Suture lateralisation plus arytenoid cartilage release for treating bilateral vocal fold immobility with mechanical fixation.