The larynx performs important functions of the aero-digestive tract, it has a vital role in the control of breathing, phonation, deglutition, and protection of the lower respiratory tract from aspiration. Bilateral Vocal cord paralysis is a challenging and at times debilitating laryngeal dysfunction that has a great social and economic impact on a patient's life. VC Lateralization, if done accurately and up to the expectations of the patient is very rewarding. However different surgical procedures which include cordectomy, arytenoidectomy with or without laser, open surgical methods, and Isshiki type 2 thyroplasty are in practice. Each has its own profile of benefits and disadvantages. Most of them are technically difficult and complex, need specialized equipment, and are out of reach of the general ENT surgeons. The investigator suggests using the Prolene suture stabilized over Prolene mesh for Vocal Cord Lateralization.
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Decannulation with comfortable breathing and reasonable voice
Timeframe: 14th Postoperative day
Change in Voice Quality on Visual Analogue Score
Timeframe: Preoperative and 14th Postoperative day
Modified VHI-10 Questionnaire
Timeframe: Preoperative and 14th Postoperative day
Change in breathing effort on Visual Analogue Score
Timeframe: Preoperative and 14th Postoperative day
Peak Expiratory flow during Rest and Light Exercise,
Timeframe: Preoperative and 14th Postoperative day