Left paresis Post-Surgery Stroboscopy Video

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This video is one of four in a series showing the larynx of an adult female with a left vocal fold paresis (incomplete paralysis). Note that the left vocal fold does move slightly, but is very limited compared to the right. The paresis results in weak glottic closure, which prevents normal vocal fold vibration. This video shows the larynx after thyroplasty, that is, surgical placement of an implant that provides improved glottic closure and therefore better vibration. This series of videos provides a good demonstration of the concept of entrainment, in which the vocal folds become "entrained" in the airstream to vibrate, as long as they are close enough together, and have similar underlying muscle tone. The improvement in entrainment provided by the improved glottic closure allows for much more normal vibration of the vocal folds.

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