Never let the sun set on bilateral vocal fold paralysis–timely diagnosis and intervention are key. In this episode of Backtable ENT, Dr. James Daniero, a laryngologist from the University of Virginia, discusses the evaluation and management of bilateral vocal fold paralysis with Dr. Gopi Shah and guest host Dr. Stephen Schoeff.---SYNPOSISThe trio delves into the complexities of diagnosing and managing bilateral vocal fold paralysis in adults, examining etiologies, diagnostic procedures, and current treatment options. They specifically highlight the differences between bilateral vocal fold immobility and paralysis, discuss innovative techniques such as bilateral selective reinnervation and laryngeal pacing, and share practical tips for securing the airway in an acute setting. The episode also emphasizes the evolving nature of treatments and the importance of timely intervention.---TIMESTAMPS00:00 - Introduction 02:05 - Understanding and Diagnosing Bilateral Vocal Fold Paralysis09:19 - Management and Treatment Options25:40 - Tracheotomy Techniques and Considerations31:31 - Exploring Surgical Options for Patients34:22 - Addressing Dysphagia in Airway Surgeries35:50 - Innovative Techniques in Laryngeal Reinnervation39:34 - Patient Selection for Advanced Surgeries47:11 - Laryngeal Pacing: A Future Option54:50 - Final Thoughts and Recommendations---RESOURCESDr. James Daniero https://uvahealth.com/findadoctor/James-Daniero-1386817484Dr. Stephen Schoeff https://www.enthealth.org/find-ent/stephen-s-schoeff/

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