Vocal fold paralysis may be caused by injury to the head neck or chest lung or thyroid cancer tumors of the skull base neck or chest or infection for example lyme disease people with certain neurologic conditions such as multiple sclerosis or parkinsons disease or who have sustained a stroke may experience vocal fold paralysis. Vocal fold paralysis happens when one or both vocal folds are not able to move it can also cause breathing and swallowing problems there are different types of vocal fold paralysis bilateral vocal fold paralysis means that both vocal folds will not move they become stuck halfway between open and closed. In most cases of vocal cord paralysis only one vocal cord is paralyzed paralysis of both of your vocal cords is a rare but serious condition this can cause vocal difficulties and significant problems with breathing and swallowing signs and symptoms of vocal cord paralysis may include a breathy quality to the voice hoarseness noisy breathing. Vocal cord paralysis is a health condition that affects the two folds of tissue in your voice box called the vocal cords these folds are important for your ability to speak breathe and swallow
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