Introduction: Bilateral vocal fold paralysis (BVFP) is a relatively uncommon cause of respiratory distress. The goals of surgical treatment are an improvement in airway size by enlarging the glottis. thus. eliminating the need for tracheostomy. https://www.spidertattooz.com/OPI-Infinite-Shine-Combo-Base-Top-March-In-Uniform-0-5-oz-ISHRK19-p26675/