Gold standard treatment in a patient intractable aspiration with incompetent larynx due to complete laryngeal paralysis is:
TREATMENT OF COMPLETE LARYNGEAL PALSY: Tracheostomy Gastrostomy Epiglottopexy Vocal cord plication Total laryngectomy Diversion procedures-Laryngotracheal separation, Laryngeal closure& permanent tracheostome Bilateral medialization i.e. Type I thyroplasty for aspiration requires adduction of the entirevocal cord. The technique works in carefully selectedcases of mild aspiration as it does not prevent all aspiration and risks patients requiring a tracheostomy,
Type I Thyroplasty
Tracheostomy
Feeding jejunostomy
Tracheal division & Permanent Tracheostoma
Vocal Fold Palsy