Abstract
ABSTRACT
Objectives
Unilateral vocal fold paralysis (UVFP) is a condition characterized by the loss of functional movement of one vocal fold resulting in incomplete glottic closure, which compromises essential functions such as phonation, swallowing and coughing. Injection medialization laryngoplasty can temporarily restore glottic closure, improving voice quality and potentially reducing the risk of aspiration.
Patients and Methods:
A prospective cohort study was conducted from September 2024 to January 2026. Patients with UVFP were divided into early (
Results
Forty‐eight patients with UVFP were enrolled and divided into early (p
= 0.001). Long‐term acoustic measures were also superior in the early group, indicating better voice quality.
Conclusion
Early injection laryngoplasty was associated with superior long‐term voice outcomes and a significantly reduced need for permanent medialization surgery compared with late injection. These findings highlight the clinical importance of early intervention in the management of UVFP.
Level of Evidence
3.