Overview

Vocal cord paralysis involves one or both vocal cords (vocal folds) not moving as they should. Your vocal cords are two bands of muscle inside your voice box (larynx) located atop your windpipe (trachea). They open when you breathe so air can pass through. They close when you swallow to prevent food and drink from slipping into your windpipe. When you speak or sing, your vocal cords touch. Your lungs send air through them, causing them to vibrate and make sounds.

With vocal cord paralysis, nerve damage prevents the muscles inside your vocal cords from opening and closing properly. As a result, you may have trouble speaking, swallowing or even breathing — all functions that depend on your vocal cords moving.

What are the types of vocal cord paralysis?

Vocal cord paralysis can affect one vocal cord (unilateral) or both vocal cords (bilateral):

  • Unilateral vocal cord paralysis: Only one vocal cord is paralyzed. When one vocal cord isn’t moving as it should, you may have trouble speaking or (in more serious cases) swallowing. Breathing problems don’t usually happen when only one vocal cord is paralyzed.
  • Bilateral vocal cord paralysis: Both vocal cords are paralyzed. When both cords are paralyzed, they usually end up very close together, causing a dangerously narrow airway. You may have trouble breathing, which may be life-threatening without treatment.

How common is vocal cord paralysis?

Unilateral vocal cord paralysis is much more common than bilateral vocal cord paralysis. It’s rare for both vocal cords to become paralyzed. Still, both types can affect anyone of any age.

How serious is vocal cord paralysis?

Unilateral vocal cord paralysis ranges in severity from mild to severe. For instance, mild cases may make speaking difficult. In more severe cases, you may experience shortness of breath when speaking. You may cough or choke when eating or drinking.

With bilateral vocal cord paralysis, your vocal cords may get too close together, making it difficult to breathe. Your swallowing can also be affected. Food or drink can slip into your windpipe and lungs, causing aspiration pneumonia.

See a healthcare provider immediately if you’re having trouble breathing or swallowing.

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Complications

Blood clots are a dangerous complication of atrial fibrillation (AFib). Blood clots can lead to stroke.
The risk of stroke from AFib increases as you grow older. Other health conditions also may increase the risk of a stroke due to AFib. These conditions include:
  • High blood pressure.
  • Diabetes.
  • Heart failure.
  • Some types of heart valve disease.
Blood thinners are commonly prescribed to prevent blood clots and strokes in people with atrial fibrillation.

Prevention

Healthy lifestyle choices can reduce the risk of heart disease and may prevent atrial fibrillation (AFib). Here are some basic heart-healthy tips:
  • Control high blood pressure, high cholesterol and diabetes.
  • Don't smoke or use tobacco.
  • Eat a diet that's low in salt and saturated fat.
  • Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
  • Get good sleep. Adults should aim for 7 to 9 hours daily.
  • Maintain a healthy weight.
  • Reduce and manage stress.


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