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Bilateral recurrent laryngeal nerve paralysis is a rare condition which occurs due to aggressive thyroid or esophageal cancers, and as a postoperative complication of these diseases. In cases with bilateral recurrent laryngeal nerve paralysis, prompt rescue for the severe impairment of respiration is required, and treatments to widen the airway at the glottis level are controverted. Though the fixation of bilateral vocal folds at the intermediate portion is rare, aspiration with hoarseness is serious. A 35-year-old female underwent surgery for thymus cancer, and suffered from severe aspiration postoperatively. Her aspiration was improved by type I thyroplasty at the left vocal fold, and more favorable swallowing and voice quality were gained by subsequent laryngeal reinnervation at the contralateral fold. Though the treatments for bilateral recurrent laryngeal nerve paralysis are controversial, this technique should be an option for the acquisition of more favorable swallowing and voice.

Type Ⅰ thyroplasty with recurrent laryngeal nerve reinnervation for the severe aspiration due to bilateral nerve paralysis