In which position are vocal folds often found in cases of paralysis?

In cases of vocal fold paralysis, the vocal folds are often found in an abducted position. This means they are situated apart from each other rather than coming together as they should during phonation. When the recurrent laryngeal nerve, which innervates the muscles responsible for closing the vocal folds, becomes impaired or damaged, it hinders their ability to adduct (come together) effectively during speech. Consequently, this results in one or both vocal folds remaining in a position that is more open than normal, contributing to difficulties in voice production, breathy voice quality, and issues with airway protection.

This understanding is essential for speech-language pathologists as it helps in diagnosing and planning appropriate interventions for individuals with voice disorders stemming from paralysis.