Structural Vocal Pathologies Practice Test

A goal of medialization of the vocal folds in ankylosis management is to improve what?

Glottic closure for speech and coughing Airway patency Swallowing efficiency Laryngeal sensation

Correct Answer:

Glottic closure for speech and coughing

Explanation:

Medialization of the vocal folds is aimed at restoring adequate glottic closure. In ankylosis, the vocal folds may not meet properly, leading to a breathy voice and poor protection of the airway. By moving tissue toward the midline, the folds contact each other more effectively during phonation and coughing, producing a stronger seal. This directly enhances speech quality and the ability to cough to clear material, which is the primary goal of the procedure. Airway patency, swallowing efficiency, and laryngeal sensation are not the immediate targets of this intervention—the key aim is to achieve better glottic closure for voice and airway protection.

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