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contentuptodate· Content· item f42_45_43743
©2013 UpToDate ® Print Email Bilateral vocal fold paralysis Because of the fixed position of the vocal folds in vocal fold paralysis, the vocal folds are unable to close completely. Patients may have a "breathy" voice and difficulty swallowing. E: epiglottis; G: glottis; vf: vocal folds. Courtesy of Glenn C Isaacson, MD, FAAP, FACS.