This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Vocal Fold Palsy, Subject name: ENT
[{'content': 'Gold standard treatment in a patient intractable aspiration with incompetent larynx due to complete laryngeal paralysis is: \nSelect and explain. \nA. Type I Thyroplasty, B. Tracheostomy, C. Feeding jejunostomy, D. Tracheal division & Permanent Tracheostoma', 'role': 'user'}, {'content': 'Answer: D \nExplanation: 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,', 'role': 'assistant'}]