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What is Gold standard treatment in a patient intractable aspiration with incompetent larynx due to complete laryngeal paralysis is: and explain in detail?
TREATMENT OF COMPLETE LARYNGEAL PALSY: Tracheostomy Gastrostomy Epiglottopexy Vocal cord plication Total laryngectomy Diversion procedures-Laryngotracheal separation, Laryngeal closure& permanent tracheostome Bilateral medialization i.e. Type I thyroplasty for aspiration requires adduction of the entirevocal cord. The technique works in carefully selectedcases of mild aspiration as it does not prevent all aspiration and risks patients requiring a tracheostomy,