<prompt> What is the treatment of unilateral vocal cord paralysis?Speech therapyUrgent tracheostomyTotal laryngectomyCordectomy  <response>: Ans. is a i.e., Speech therapy Combined complete paralysis RLN SLN paralysis of vocal cords1 Unilateralo All the muscles on one side of the larynx are paralysed - Vocal cord lies in cadaveric intermediate positiono There is complete anesthesia of larynx on affected side.o The healthy cord is unable to approximate the paralysed cord, thus causes glottic incompetence which results in hoarseness of voice and aspiration of liquids through the glottiso Treatment includes:-i Speech therapyii Medialization of cord:- The aim is to bring the paralysed cord towards the midline so that healthy cord can meet it and can prevent aspiration. This is achieved by - i Injection of teflon paste lateral to the paralysed cord; ii Thyroplasty type I; iii Muscle or cartilage implant; or iv Arthrodesis of cricoarytenoid joint.2 Bilateralo All the laryngeal muscles of both sides are paralysed and there is complete anaesthesia of whole larynxo This results ini Aphoniaii Aspirationiii Inability to coughiv Bronchopneumoniao Treatment includes : -i Tracheostomyii Epiglottopexyiii Vocal cord plicationiv Total laryngectomyv Diversion procedures 