*6.2.2 Lateralization of vocal cord*

This is a temporary procedure where the vocal cords are lateralized with a suture. There is a lesser risk of aspiration and this procedure can be reverted once the vocal coed function is back. One of the drawbacks of this procedure is that the suture may give away and the cord may be medialised again. It is reserved for the cases where recovery of vocal cord function is anticipated.

## *6.2.3 Posterior cordotomy*

This is an irreversible procedure. Endoscopic LASER cordotomy was popularized by Dennis and Kashima [11]. In this procedure, a transection is carried out through true vocal fold, ventricle and false vocal fold from the vocal process creating a wedge shaped defect in the posterior glottis. The drawbacks of this surgery are chances of aspiration and change in voice.
