The authors report the results of transcutaneous silicone injection in 8 cases of unilateral vocal cord paralysis who complained of hoarseness. In order to medialize the vocal cord, injection was done to outside of the vocal cord through the cricothyroid space under local anesthesia. This procedure was successful in improvement of phonatory function in most cases. Transcutaneous silicone injection is recommended in unilateral vocal paralysis case, especially who are unable to undergo general anesthesia.
