**6. Management**

Primary pathology should always be sought and managed accordingly as in most of the cases correcting the primary pathology reverts the mobility of vocal folds as well, for example in Arnold-Chiari malformation a shunt procedure may lower the intracranial pressure and thus reduce the stretching of the vagus nerve. In idiopathic cases, where no obvious inciting pathology could be found a watchful waiting up to 24 months can be done. Many of these cases gain normal or partial mobility of the cords during this period.

Most of the neonates with bilateral abductor palsy are asymptomatic until they present with an acute respiratory compromise due to upper respiratory tract infection. Management can be broadly discussed under following two headings.
