Suggest treatment for laryngeal neuropathy, vocal cord paresis and laryngopharyngeal reflux

Posted on Mon, 30 Mar 2015 in Ear, Nose and Throat Problems
Question: I've been suffering from a variety of throat conditions, specifically, laryngeal neuropathy, vocal cord paresis and laryngopharyngeal reflux.

The odynophonia, dysphagia/odynophagia, glottal discomfort and pressure, morning pain, etc. have not been remedied even with a variety of different treatments and approaches.

My question is this: is there any kind of surgical procedure that could alleviate the pain and discomfort? I've heard of two procedures (one is called microvascular decompression and the other is called rhizotomy) to treat something called glossopharyngeal neuralgia. I don't know what neuralgia is, but could either of these be used to treat my odynophonia and other issues?

Answered by Dr. Abubakar Siddiqh 30 minutes later
Brief Answer:
Root cause ( vocal card paresis).

Detailed Answer:


I had gone through your question and understand your concerns that you are having throat issues.

Based on your clinical details, it occurs to be acid laryngitis secondary to vocal card paresis.

Aspiration is common with vocal card paresis, can cause pharyngitis, laryngitis, aspiration pneumonia and odynophagia secondary to infection.

As such, vocal cards are supplied by vagus nerve, can be corrected by vocal card compensation procedures. Aboue mentioned procedures ( rhizotomy or decompression) will not help in your case, gloss pharyngeal nerve supply ends at base of tongue, it is not responsible for vocal card paresis).

I suggest you to to consult ent surgeon and get detailed ent exination ( cause for paresis), laryngoscopy ( to know abductor or adductor palsy) and stroboscopy ( detailed study of vocal cards causing regurgitation). depending on the examination reports further treatment is required accordingly.

Intially, vocal card paresis can be managed with speech therapy and life style modifications, it takes time for compensation.

Mean time take semisolid diet, stop smoking or alcohol ( if your are with these habits), bed end elevation ( support with extra pillows, to prevent regurgitation), start ppi inhibitor with pro kinetic combination ( pan- d) pantoprazole + domeperidine twice daily before food (Half an hour prior).

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Answered by
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Glossopharyngeal neuralgia

doctor1 MD

Hello, I am 28, female and I am suffering from Glossopharyngeal Neuralgia from past 2 years. I am on carbamazepine (mazatol), but it does not seem...

doctor1 MD

Suddenly had a sharp severe pain at base of tongue through tongue that radiated under jaw tender glands and into ears. Lasted 30 seconds of severe...

doctor1 MD

Yes, thank you. I recently had to not take some of my melds for a veg test. The Medes I stopped abruptly were 1800 mg/day gabapentin , 1 mg/day...

doctor1 MD

I have a sharp pain every so often deep inside my ear. My doctor had originally thought it was Shingles since i also had some numbness in my face,...

doctor1 MD

I am inquiring about my mother s list of medications she is taking. She is having severe leg cramps and lower back pain as well as neck and...

doctor1 MD

I have been dignosed with glossopharyngeal neuralgia and trigeminal neuralgia . I am 51 years old, and have a history of severe infections,...

doctor1 MD

i have severe sharp pain above my left ear. Like a vein in my brain is going to pop. its not costent. its sharp and im worried.

Get personalised answers from verified doctor in minutes across 80+ specialties

196 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction