Abstract
Impaired vocal fold motion may result from cricoarytenoid joint fixation, bilateral vocal fold paralysis, or interarytenoid scarring. Traditional surgical techniques have focused on lateralization or resecting the arytenoid for airway improvement. This paper discussed three cases of bilateral reduced vocal fold motion of neurogenic etiology treated with posterior cricoid grafting to cause a wider resting position of the vocal folds and arytenoids. Airway improvement occurred in all. Voice results have been encouraging. Advantages of this procedures are: symmetrical vocal folds, no vocal fold or joint scarring, larynx remains a candidate for electrical pacing when that becomes available. Acoustic and aerodynamic voice results presented. Results should be considered preliminary.

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