Three major issues in Laryngological practice will be discussed specifically in this session:

Pediatric voice disorders from the perspective of rare diseases

This presentation will explore pediatric voice disorders through the lens of rare diseases, highlighting the diagnostic challenges posed by uncommon congenital, genetic, neuromuscular, and systemic conditions affecting the pediatric larynx. Emphasis will be placed on recognizing key clinical clues, selecting appropriate diagnostic pathways, and adopting a multidisciplinary, individualized approach to management in these challenging cases.

Management of sulcus vocalis

Sulcus vocalis is a challenging structural vocal fold lesion that may cause persistent dysphonia and impaired vocal efficiency. Successful management requires accurate diagnosis and individualized treatment planning. Contemporary therapeutic strategies, including voice therapy, phonosurgical techniques, and combined approaches, will be discussed. Indications, surgical principles, expected outcomes, limitations, and the role of postoperative rehabilitation will be reviewed, emphasizing patient-specific decision-making.

Management of bilateral vocal fold paralysis: A microlaryngeal biomechanical approach

Treatment choice for bilateral vocal fold paralysis remains a debate, including altered airway (tracheostomy), glottic mass reduction (lateralization, posterior cordotomy, etc.), and neurofunctional approaches (neural reinnervation, implantation, electrostimulation). Posterior glottoplasty provides a muscular vector approach. It aims to keep the membranous folds intact and create a posterior glottic space to improve breathing and phonation.