Este protocolo se aplica a pacientes con parálisis idiopática de cuerdas vocales en quienes la recuperación espontánea de la movilidad del pliegue vocal sigue siendo posible — el pronóstico es transitorio o desconocido, la voz está actualmente compensada y la aspiración está ausente.
Recuperación de la movilidad del pliegue vocal en un plazo de 6 a 12 meses desde el inicio.
Dado que la recuperación espontánea sigue siendo posible, este protocolo favorece un manejo menos invasivo durante el período de espera — las opciones pueden incluir terapia vocal o un enfoque procedimental de duración limitada, con la selección dependiendo de las demandas vocales del paciente y el contexto clínico.
DOI: 10.1177/0194599817751030
For patients with a compensated voice and no aspiration, less invasive treatment, such as a wait-and-see approach, IL with temporary material, and voice therapy are applicable, depending on the patient's need or profession, but for patients with a high vocal demand, uncompensated voice, or aspiration/dysphagia, SMPs are preferred.
Temporary IL is preferred for cases of UVFP with no apparent cause (i.e., where there is a possibility of recovery of neural function).
In patients with mild symptoms and adequate airway protection, several options may be considered, including a wait-and-see approach, voice therapy, and medialization procedures (see KQ 5–15).
Voice therapy may be used to improve voice outcomes for patients with mild symptoms or if surgical medialization procedures are not available (strong recommendation, low-quality evidence).
Temporary or short-duration materials are used when spontaneous recovery of vocal fold mobility is expected (strong recommendation, moderate-quality evidence).
Spontaneous recovery of vocal fold mobility can occur within 6–12 months from the onset of UVFP (strong recommendation, moderate-quality evidence).
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