Odor Provocation Test for Laryngeal Hypersensitivity

Gartner‐Schmidt, Jackie; Rosen, Clark A.; Radhakrishnan, Nandhakumar; Ferguson, Berrylin J.

doi:10.1016/j.jvoice.2006.10.008

Cited by 9 publications

(5 citation statements)

References 11 publications

(8 reference statements)

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“…Other vendors that provide HIPAA-compliant video communication products include Skype for Business, Updox, VSee, Doxy.me and Google G Suite Hangouts meet. 6 In order for these platforms to meet HIPAA-compliance, several general requirements must be in place for video conferencing. These obligations include: (1) ensuring the confidentiality, integrity, and availability of all electronic protected health information the covered entity creates, receives, maintains, or transmits;…”

Section: Setting Up a Telemedicine Visitmentioning

confidence: 99%

“…In general, telehealth improves patient care access and may improve compliance due to greater convenience of followup. [4][5][6][7] However, telemedicine carries clear limitations related to the ability to conduct thorough physical exam and other investigations (eg, laryngoscopy). [7][8][9][10][11] There may be reduced personal connection between provider and patient.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of Telemedicine in a Laryngology Practice During the COVID-19 Pandemic: Lessons Learned, Experiences Shared

Strohl

Dwyer

et al. 2022

Journal of Voice

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Objectives. The novel coronavirus disease 2019 has posed significant limitations and barriers to providing in-person healthcare. We aim to provide a summary of learned experiences and important considerations for implementing and offering telehealth to provide laryngology subspecialty care during the COVID-19 pandemic and thereafter. Materials and Methods. Four laryngologists and a voice-specialized speech-language pathologist from a tertiary-care academic Voice and Swallowing Center were engaged in a structured group consensus conference. Participants shared input, experiences, and practice patterns employed via telemedicine (via telephone or videocommunication) during the early COVID-19 era. Results. Key identified areas of consideration when offering telemedicine included (1) how to set up and structure a telemedicine visit and maintain patient confidentiality, (2) patient examination and treatment initiation, (3) optimization of the tele-visit, (4) limitations and recognition of when a tele-visit is insufficient for patient care needs, (5) billing/reimbursement considerations. Group consensus for the aforementioned topics is summarized and discussed. Conclusion.During the COVID-19 pandemic, a telemedicine model can be effectively employed to improve patient access to subspecialty laryngology care, including a multidisciplinary care approach, with initiation of various therapeutic interventions. A major limitation given the preclusion of in-person assessment is the lack of access to laryngoscopy, which can likely be delayed safely in the majority of individuals.

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Section: Setting Up a Telemedicine Visitmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implementation of Telemedicine in a Laryngology Practice During the COVID-19 Pandemic: Lessons Learned, Experiences Shared

Strohl

Dwyer

et al. 2022

Journal of Voice

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“…Direct visualization of abnormal vocal fold movement at laryngoscopy is the gold standard, but false negatives occur during asymptomatic periods . Exercise, odour, histamine, methacholine and mannitol challenges have been used to increase the sensitivity of laryngoscopy . Spirometry, dynamic CT scanning and questionnaires have also been used to diagnose VCD, with varying levels of diagnostic accuracy.…”

Section: How Common Are Comorbidities In Difficult Asthma?mentioning

confidence: 99%

Comorbid “treatable traits” in difficult asthma: Current evidence and clinical evaluation

Tay

Hew

2017

Allergy

125

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The care of patients with difficult-to-control asthma ("difficult asthma") is challenging and costly. Despite high-intensity asthma treatment, these patients experience poor asthma control and face the greatest risk of asthma morbidity and mortality.Poor asthma control is often driven by severe asthma biology, which has appropriately been the focus of intense research and phenotype-driven therapies. However, it is increasingly apparent that extra-pulmonary comorbidities also contribute substantially to poor asthma control and a heightened disease burden. These comorbidities have been proposed as "treatable traits" in chronic airways disease, adding impetus to their evaluation and management in difficult asthma. In this review, eight major asthma-related comorbidities are discussed: rhinitis, chronic rhinosinusitis, gastroesophageal reflux, obstructive sleep apnoea, vocal cord dysfunction, obesity, dysfunctional breathing and anxiety/depression. We describe the prevalence, impact and treatment effects of these comorbidities in the difficult asthma population, emphasizing gaps in the current literature. We examine the associations between individual comorbidities and highlight the potential for comorbidity clusters to exert combined effects on asthma outcomes. We conclude by outlining a pragmatic clinical approach to assess comorbidities in difficult asthma.

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“…In a similar approach, patients with dyspnea symptoms related to environmental stimuli (such as odors) can be evaluated by flexible laryngoscopy with and without odor provocation 39…”

Section: Upper Airway Evaluation and Treatmentmentioning

confidence: 99%