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Rickert S et al. – A 49–year–old real estate salesman presented with a 13–month history of breathy dysphonia. His symptoms arose following an upper respiratory tract infection, and his voice quality had steadily deteriorated ever since. A later evaluation identified glottic insufficiency, which was attributed to vocal fold paresis based on laryngoscopy.Peroral strobovideolaryngoscopy in our office confirmed the glottic insufficiency. Examination also revealed ventricular fold hyperfunction on the side that failed to adduct normally, a finding that suggested intact neuromuscular function.


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