I had this problem about 25 years ago....before widespread use
of CAT scans and before the invention of the MRI A small tumor, a
hamartoma, was found after extensive X rays in the musculature
controlling the vocal cord I had surgery to remove it with good
results. Later, I experienced serious voice weakness, as there may
have been damage in the imprecise effort to excise the tumor. There
was significant dyssymmetry in the vocal cord movement. The doctors
could never could determine the reason, except the surgery damage
theory. I had medialization thyroplasty to "shim" the weaker vocal
cord toward the mid-line with good results. At present, I have a
strong voice but this is because each morning I inhale water in the
shower to "wash off" the vocal cords. In other words, the
acccumulation of phlegm overnight is not moved away normally by my
vocal cord movement---so I do it artificially with the hot shower
water. After my experience, I am convinced that quite a number of
people to not have perfect vocal cord symmetry. Beware, many speech
therapists and EMTs are not very aware of these procedures I
recommend contact with Dr. Albert Merati at the University of
Washington Roger in Wichita