<unk>  with or without medialization thyroplasty significantly improves quality of life for patients with vocal cord paralysis. Subjective outcome measures of voice quality include the Grade, Roughness, Breathiness, Asthenia, Strain (GBRAS) voice scale, Voice Handicap Index, and closure of the glottic gap. Objective outcome measures include mean and maximum phonation time, phonotory airflow, and signal-to-noise ratio.<unk>  produces improvements in all of these parameters.
Arytenoid adduction
Tongue thrust
Sinus lift
Cramp
Adams clasp
Arm recoil
Pressure of speech
Forehead lift