TY  - BOOK
AU  - Lopez, Jonathan G., MD.
AU  - Sia, Antonio M., Jr., MD.
AU  - Feliciano, Rebecca R., MD.
TI  - Bilateral vocal fold hypomobility : : a management dilemma / 
AV  - ENT20120002 
PY  - 2012///
CY  - Fairview, Quezon City
PB  - Department of Otolaryngology, FEU-NRMF
N1  - Includes appendices and bibliographical references; RESDOT
N2  - ABSTRACT: This report aims to present a case of bilateral vocal fold hypomobility.  More specifically,  it aims to describe the clinical features of the disease, discuss the differential diagnosis and to present the therapeutic dilemma. This is a case of a 53 year old male with hoarseness of eleven years duration characterrized as effortful, weak, breathy, and hoarse voice, with no history of trauma, infections or any neurologic diseases. The patient consulted an ENT specialist wherein rigid fiberoptic laryngoscopy was done and revealed a right vocal fold paresis.  Unrecalled medications were given which afforded no relief.  After a few months, he consulted another ENT specialist wherein another rigid fiberoptic laryngoscopy was done which revealed hypomobility of the right vocal fold.  Chest X-ray,  CT scan of the Chest and laryngeal EMG were also done which revealed normal results.  He was then advised watchful observation.  After six years, the patient decided to consult in our institution for the possibility to improve his voice. Rigid fiber optic laryngoscopy was done and now revealed bilateral vocal fold hypomobility.  Based on elimination of causes from history, physical examination, radiography and laryngeal EMG, a consideration of arytenoid fixation was made. Management options such as medializationlaryngosplasty, artenoid adduction, laryngeal reinnervation and vocal fold medialization using fat injection are discussed in this report
ER  -