Nagy P, et al. - In this investigation, researchers assessed their experience with patients who had vocal fold paralysis associated with brain malignancy and how they responded to vocal cord-related therapies. Treatment-related vocal fold pathology and vocal fold paralysis variables, including initial diagnosis, management with observation or speech therapy, length of therapy, pre- and postintervention swallow studies, and surgical intervention were assessed in 19 patients treated for neurological malignancies at a tertiary center who had either unilateral or bilateral vocal fold paralysis. In 26% of patients, bilateral vocal fold paralysis was observed; stable or improved ability to vocalize and swallow was seen in 84% of patients following therapy. Findings revealed that improvement in speech and swallowing after various treatments, including speech therapy or early injection laryngoplasty is achievable in these patients. No statistically significant difference was found in improvement based on the type of intervention utilized. Determining if surgical intervention combined with speech therapy results in faster and significant functional improvement vs speech therapy alone requires larger studies. No complications with surgical intervention were observed.