This patient presented with four day history of hoarseness of voice. He was being treated for acute laryngitis by a physician. He was prescribed voice rest, antibiotics and antacids. He did not have any relief.
His laryngoscopy showed that his leafy vocal cord was bowing on adduction and did not have full tension. It was moving well but didn't close fully producing a significant vocal gap. A working diagnosis of left superior laryngeal nerve palsy was made and treatment started.