Paradoxical vocal fold motion disorder in the elite athlete: Experience at a large division I university

Marcinow, Anna M.; Thompson, Jennifer C.; Chiang, Tendy; Forrest, L. Arick; deSilva, Brad W.

doi:10.1002/lary.24486

Cited by 43 publications

(48 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…79,81 In some extreme cases, hypnosis, biofeedback and psychotherapy have been used successfully. These techniques are likely to desensitize the cough pathways.…”

Section: Cough Associated With Aspiration Syndromesmentioning

confidence: 99%

“…79 VCD in children commonly occurs during exertion and must be differentiated from exercise-induced bronchospasm (EIB). 79 VCD in children commonly occurs during exertion and must be differentiated from exercise-induced bronchospasm (EIB).…”

Section: Vocal Cord Dysfunctionmentioning

confidence: 99%

“…79 The examination can be videotaped or photographed for the medical records. Spirometry shows blunting or truncation of the inspiratory portion of the flow-volume curve.…”

Section: Vocal Cord Dysfunctionmentioning

confidence: 99%

“…79 Health information available on the Internet relating to treatment of cough is generally unreliable. Antiasthma drugs are not reliably effective in patients with chronic dry cough, nevertheless a 2-to 4-week course of a potent inhaled corticosteroid should be administered to children with prolonged cough without wheeze who have not already received such therapy, especially if they have obstructive pulmonary function tests or positive bronchial challenge results.…”

Section: Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Chronic Cough

Milgrom¹

2016

Pediatric Allergy: Principles and Practice

View full text Add to dashboard Cite

“…79,81 In some extreme cases, hypnosis, biofeedback and psychotherapy have been used successfully. These techniques are likely to desensitize the cough pathways.…”

Section: Cough Associated With Aspiration Syndromesmentioning

confidence: 99%

Section: Vocal Cord Dysfunctionmentioning

confidence: 99%

“…79 The examination can be videotaped or photographed for the medical records. Spirometry shows blunting or truncation of the inspiratory portion of the flow-volume curve.…”

Section: Vocal Cord Dysfunctionmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Chronic Cough

Milgrom¹

2016

Pediatric Allergy: Principles and Practice

View full text Add to dashboard Cite

“…In recent years, the emergence of exercise laryngoscopy [4] has led to a better understanding of laryngeal movement during exercise, and inspiratory supraglottic collapse on exertion has been established as a common cause of exertional breathlessness [5] that is correlated with exercise intensity [6]. Both glottic and supraglottic inspiratory closure are more commonly seen in females and most often in adolescents or young adults [7][8][9][10][11]. This predominance has yet to be explained; however, gender differences in larynx size/growth and consequently higher "Bernoulli forces" in females for a given respiratory demand could be a contributing factor [5].…”

mentioning

confidence: 99%

Heredity of supraglottic exercise-induced laryngeal obstruction

et al. 2017

View full text Add to dashboard Cite

Respiratory symptoms on exertion, such as shortness of breath and wheezing, are commonly associated with asthma, but might also arise from the larynx [1][2][3]. In recent years, the emergence of exercise laryngoscopy [4] has led to a better understanding of laryngeal movement during exercise, and inspiratory supraglottic collapse on exertion has been established as a common cause of exertional breathlessness [5] that is correlated with exercise intensity [6]. Both glottic and supraglottic inspiratory closure are more commonly seen in females and most often in adolescents or young adults [7][8][9][10][11]. This predominance has yet to be explained; however, gender differences in larynx size/growth and consequently higher "Bernoulli forces" in females for a given respiratory demand could be a contributing factor [5]. Thus, an inherited disorder affecting laryngeal growth could also explain why the condition usually presents in adolescence [12,13]. A recent study by Hilland and colleagues [14] describing an association between congenital laryngomalacia and (mainly supraglottic) laryngeal closure in adolescence, points out a likely predisposition for supraglottic exercise-induced laryngeal obstruction (EILO), whereas case studies have demonstrated that congenital laryngomalacia can be inherited [15,16].A cross-sectional study (regional ethics committee no. H-3-2012-054) was undertaken to search for a hereditary component in supraglottic EILO. We examined 10 families of probands with known EILO at the supraglottic level. Participating family members, as well as the probands underwent continuous laryngoscopy during exercise. In brief, a flexible fibre optic laryngoscope was passed through the nares, following the application of a topical local anaesthetic. While wearing a safety harness, the subjects then performed a standardised incremental exercise test on a treadmill, until reaching (self-assessed) maximum effort, with the laryngoscope fastened to headgear while recording the laryngoscopic video. An experienced specialist, who did not take part in performing the tests, scored the degree of EILO as none, mild, moderate or severe, using the scoring system developed by Maat and colleagues [17]. Several studies, including our previous work and the present study classify moderate and severe grades of EILO as clinically significant, and consider mild supraglottic EILO to be a variant of normal [3, 7, 9, 10].We found moderate (i.e. clinically significant) inspiratory supraglottic EILO in seven (24%) of the tested family members; five females and two males (figure 1). None of the family members had severe supraglottic EILO, whereas nine (32%) were classified as "mild". Detailed test results from probands and family members are shown in the pedigree chart ( figure 1). An expert geneticist analysed the pedigree and several plausible models of inheritance indeed support the hypothesis of a hereditary component: 1) autosomal dominant, 2) X-linked dominant or 3) multifactorial. We found that an autosomal dominant model of inher...

show abstract