This protocol addresses post-surgical unilateral vocal fold paralysis in patients whose vocal fold mobility is expected to recover spontaneously — and who currently present with a compensated voice and no aspiration.
In this setting, the expected natural course and the absence of swallowing compromise together shape which management pathway is appropriate.
The patient has unilateral vocal fold paralysis following a surgical procedure. Vocal fold mobility recovery is anticipated. Voice is currently compensated, and there is no aspiration.
Because vocal demand, compensation status, and the presence or absence of aspiration all influence treatment selection, the full structured regimen accounts for each of these factors together.
Given the expectation of spontaneous recovery and the absence of aspiration, this scenario calls for less invasive management. The approach may involve observation, voice-focused intervention, or a minimally invasive laryngeal procedure — the specific pathway depends on the patient's vocal demands and clinical needs.
The complete sequenced regimen, including the choice between options and the conditions under which each applies, is available via the link below.
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 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).