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Never let the sun set on bilateral vocal fold paralysis–timely diagnosis and intervention are key. In this episode of Backtable ENT, Dr. James Daniero, a laryngologist from the University of Virginia, discusses the evaluation and management of bilateral vocal fold paralysis with Dr. Gopi Shah and guest host Dr. Stephen Schoeff --- SYNPOSIS The trio delves into the complexities of diagnosing and managing bilateral vocal fold paralysis in adults, examining etiologies, diagnostic procedures, and current treatment options. They specifically highlight the differences between bilateral vocal fold immobility and paralysis, discuss innovative techniques such as bilateral selective reinnervation and laryngeal pacing, and share practical tips for securing the airway in an acute setting. The episode also emphasizes the evolving nature of treatments and the importance of timely intervention. --- TIMESTAMPS 00:00 - Introduction 02:05 - Understanding and Diagnosing Bilateral Vocal Fold Paralysis 09:19 - Management and Treatment Options 25:40 - Tracheotomy Techniques and Considerations 31:31 - Exploring Surgical Options for Patients 34:22 - Addressing Dysphagia in Airway Surgeries 35:50 - Innovative Techniques in Laryngeal Reinnervation 39:34 - Patient Selection for Advanced Surgeries 47:11 - Laryngeal Pacing: A Future Option 54:50 - Final Thoughts and Recommendations --- RESOURCES Dr. James Daniero https://uvahealth.com/findadoctor/Jam... Dr. Stephen Schoeff https://www.enthealth.org/find-ent/st... --- The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery. Get notified when new episodes drop! Subscribe to the BackTable ENT Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular otolaryngology updates. ► https://www.backtable.com/shows/ent/s... #ENT223 #ent #otolaryngology #vocalfolds