Medical MCQ-A 30-year-old female presented with stridor following upper respiratory infection. I/L shows glottic gap is 3 mm. It can be managed by the following except:

A 30-year-old female presented with stridor following upper respiratory infection. I/L shows glottic gap is 3 mm. It can be managed by the following except:

Tracheostomy

Type II thyroplasty

Type I thyroplasty

Cordectomy

Question Category:

ENT

Correct Answer:

Type I thyroplasty

Description:

(c) Type I thyroplasty(Ref. Current Diagnosis & Treatment Otolaryngology, Lalwani, 3rd ed., 478)Stridor means B/L RLN palsy. Glottic gap being 3mm so VC are in paramedian position. So the management is tracheostomy followed by lateralisation of the VC by type II thyroplasty or Cordectomy. Type I thyroplasty means doing medialisation of VC which will aggravate the condition.

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