<prompt> The voice in a patient with bilateral abductor paralysis of larynx is:PuberuophoniaPhonastheniaDysphonia plicae ventricularisNormal or good voice  <response>: Ans. is d i.e. normal or good voice Management Lateralization of cord by arytenoidectomy, endoscopic surgery, thyroplasty type II, cordectomy In emergency cases -Tracheostomy may be required Also know Generally patients with bilateral recurrent laryngeal nerve palsy have a recent history of thyroid surgery or rarely an advanced malignant thyroid tumor. Most common presentation-Development of stridor following URI Since the voice of the patient is normalit is diagnosed very late. 