Evaluation of paradoxical vocal fold motion

Differential diagnosis in paradoxical vocal fold movement (PVFM): An interdisciplinary task

“…This included alleviation of GERD/allergy symptoms, decreased stress-related feelings, and improved breathing control when performing physical exercises, with consequent PVFM synonym [2,19,21,23].…”

“…2 Indications of clinical competence, added to a reassuring and comforting environment should promote confident feelings in client and significant others [2,19,21,23].…”

“…Furthermore, her mother reported that the child had experienced GERD and seasonal allergies. The literature shows that there is a high prevalence of these factors (i.e., respiratory struggle during physical exertion, unwanted vocal effort, GERD, and respiratory allergies) in people with PVFM [3][4][5][6]23,32]. Additional indications of instability and effort associated with respiratory-phonatory functions were demonstrated by results of voice acoustic and aerodynamic analysis.…”

“…Because of the various conditions linked to PVFM etiology, ruling out unconfirmed causes is critical for a proper diagnosis [28]. Therefore, suspected cases should receive interactive attention from a team of professionals in related disciplines including minimally the specialties of otolaryngology, pulmonary medicine, allergy, speech-language pathology (SLP), and psychology [19,31,23,32]. Interdisciplinary attention is warranted to avoid misdiagnosis due to similarities with other common disorders, as well as unnecessary utilization of medical approaches and potential delay in the application of proper treatment.…”

“…Therefore, PVFM evaluation should encompass a detailed clinical description of the patient involving all aspects that could contribute to the airway disturbances such as evidence of allergies and psychogenic factors, pulmonary tests, and laryngoscopic observation, as well as functional voice assessment [23].…”