Vocal Cord Paralysis

A 52-year-old man with a history of thyroid surgery 3 months ago presents with bilateral vocal cord paralysis in the paramedian position. Which finding best distinguishes bilateral RLN paralysis from bilateral SLN paralysis in this patient?

A 52-year-old man presents with bilateral vocal cord paralysis in the paramedian position following thyroid surgery. Which finding best distinguishes bilateral RLN paralysis from bilateral SLN paralysis in this clinical context?

A 72-year-old woman with a 40-year smoking history presents with progressive dyspnea, hoarseness, and dysphagia over 2 months. She has unintentional weight loss of 4 kg. Laryngoscopy shows a left vocal cord fixed in a paramedian position with a visible mass at the left vocal cord margin. CT chest reveals a 3 cm left lung apex mass with invasion of the left recurrent laryngeal nerve. Which nerve lesion accounts for the vocal cord position in this patient?

A 58-year-old man presents with progressive hoarseness and dysphagia for 3 weeks. He has a 20-pack-year smoking history and reports weight loss of 4 kg. On examination, he has a palpable left supraclavicular lymph node. Laryngoscopy reveals a left vocal cord in paramedian position with reduced mobility. CT chest shows a 3 cm left hilar mass with mediastinal lymphadenopathy. Which nerve is most likely compressed by the tumor?

A 52-year-old male presents with hoarseness of voice and weak cry lasting 3 weeks following thyroid surgery. Laryngoscopy reveals left vocal cord in paramedian position. Which is the drug of choice for medical management of this acute unilateral vocal cord paralysis?