Laryngoplasty (tie-back) surgery permanently abducts the arytenoid but creates aspiration risk since the larynx can no longer fully close during swallowing.
Coughing when eating or drinking (aspiration); occasional aspiration pneumonia; improved exercise tolerance but lifelong management needed; no grain through hay nets, feed from the ground.
Laryngoplasty (tie-back) surgery permanently abducts the arytenoid but creates aspiration risk since the larynx can no longer fully close during swallowing.
Coughing when eating or drinking (aspiration); occasional aspiration pneumonia; improved exercise tolerance but lifelong management needed; no grain through hay nets, feed from the ground.