iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2023.v04i02.017Case Report: Idiopathic Bilateral Abductor Vocal Cord PalsySheetalThakurBharatBhushanSachinKanwarBilateral abductor vocal cord paralysis is a distressing condition, often life threatening, most commonly results from iatrogenic trauma to the recurrent laryngeal nerve during surgical procedures in the anterior neck. Patients may require tracheostomy because of acute or gradual onset of dyspnoea and airway compromise. A-32 years-old male presented with stridor without dysphonia. Indirect laryngoscopy revealed paramedian position of bilateral true vocal cord. No etiology could be identified for abductor palsy of bilateral vocal cords. Patient symptomatically improved with medical management and was planned for tracheostomy followed by vocal cord lateralization procedures.