Paradoxical vocal fold motion: Presentation and treatment options

Altman, Kenneth W.; Mirza, Natasha; Ruiz, Cesar; Sataloff, Robert T.

doi:10.1016/s0892-1997(00)80099-5

Cited by 77 publications

(99 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Su etiología es desconocida, pero un factor psicológico ansioso/ depresivo es considerado el más relevante 1,5 . Hasta la década 1990-99 era atribuido exclusivamente a trastorno psiquiátrico, pero se ha encontrado asociaciones con ejercicio físico e irritantes laríngeos, entre los que se encuentran RGE e intubaciones previas 2 .…”

Section: Discussionunclassified

“…La terapia fonoaudiológica a largo plazo ha demostrado reducir síntomas y recurrencia 15 . En casos refractarios se ha usado toxina botulínica en la musculatura laríngea, pero su efecto sería limitado a 7-14 semanas 1 .…”

Section: Discussionunclassified

“…Se manifiesta como una obstrucción glótica episódica, en la cual, las cuerdas vocales aducen de forma inapropiada en inspiración y/o espiración 1 . Puede causar un episodio súbito de estridor y dificultad respiratoria, que puede ser muy alarmante 2 .…”

unclassified

See 2 more Smart Citations

Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico

2017

View full text Add to dashboard Cite

E l movimiento paradojal de cuerdas vocales (MPCV) es un trastorno de muy baja frecuencia. Se manifiesta como una obstrucción glótica episódica, en la cual, las cuerdas vocales aducen de forma inapropiada en inspiración y/o espiración 1 . Puede causar un episodio súbito de estridor y dificultad respiratoria, que puede ser muy alarmante 2 . Este fenómeno ha asumido variados nombres a través del tiempo, como "estridor psicógeno" y "obstrucción funcional de la vía aérea superior", entre otros 3 . Fue inicialmente descrito por Patterson en 1974 como "estridor de Munchausen", en una mujer de 33 años con historia de 15 hospitalizaciones por crisis obstructivas 4 , sugiriendo desde ese entonces una posible etiología psiquiátrica. El diagnóstico es difícil de establecer, dado que se basa principalmente en la visualización directa, mediante laringoscopía, de las cuerdas vocales mientras el paciente tiene síntomas. Debido a esto, es frecuente que los pacientes usualmente sean mal diagnosticados, tratados como asmáti-cos, sometidos a intubaciones, traqueostomías, altas dosis de corticoides y múltiples hospitalizaciones 5 .Presentamos el caso de una paciente joven, que presentó crisis recurrentes de estridor laríngeo con dificultad respiratoria, sometida a múltiples intubaciones y traqueostomizada en dos ocasiones. Esta comunicación cuenta con la aprobación

show abstract

Section: Discussionunclassified

See 1 more Smart Citation

Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico

2017

View full text Add to dashboard Cite

show abstract

“…In the past, pharmacological, psychological and respiratory therapy have been proposed without achieving univocal results [10,15,38,39] . However, the majority of authors indicate speech/respiratory retraining as the treatment of choice since this gives the patients useful guidelines for interrupting an episode of dyspnea and teaches them how to manage the dyspnea or dyspneic cough quickly [3, 10-12, 13, 15, 22, 23, 25] .…”

Section: Discussionmentioning

confidence: 99%

Respiratory Retraining Therapy in Long-Term Treatment of Paradoxical Vocal Fold Dysfunction

Nacci

Fattori

Segnini

et al. 2010

Folia Phoniatr Logop

View full text Add to dashboard Cite

Objectives: Paradoxical vocal fold dysfunction (PVFD) is a disorder in the larynx featuring involuntary adduction of the vocal folds during the inspiratory phase of breathing. The symptoms include acute episodes of dyspnea and bouts of coughing. To date, there is no universally acknowledged treatment for PVFD, though respiratory retraining therapy is the treatment of choice. Aims: The purpose of this work was to evaluate the results of long-term respiratory retraining therapy in cases of PVFD. Patients and Methods: We treated 20 patients with PVFD for 2 years: 10 subjects were submitted to a cycle of respiratory retraining therapy every 12 months (receiving a total of 3 cycles) while 10 were given a cycle every 3 months (for a total of 9 cycles) no matter what their clinical conditions were. Results: The results show that long-term respiratory retraining is particularly efficacious if the cycles of treatment are repeated, no matter what clinical conditions are present. In fact, when only one cycle of retraining treatment is given a year, there is initial improvement followed by progressive worsening. Conclusions: Long-term respiratory rehabilitation is effective, especially if the treatment is given at least once every 3 months.

show abstract

“…Wheezing, dysphonia, choking feeling, throat tightness, stridor, dyspnoea, suprasternal and neck muscle retraction, anxiety and cough are typical symptoms of VCD [4][5][6]. Wheezing, in particular, is typically monophasic, in contrast to asthma wheezing, which is polyphasic.…”

Section: Introductionmentioning

confidence: 99%

Irritant vocal cord dysfunction and occupational bronchial asthma: differential diagnosis in a health care worker

Tonini¹,

Dellabianca²,

C³

et al. 2009

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

Objectives: Vocal cord dysfunction (VCD) is an uncommon respiratory disease characterized by the paradoxical adduction of vocal cords during inspiration, that may mimic bronchial asthma. The pathogenesis of VCD has not been clearly defined but it is possible to recognize non-psychologic and psychologic causes. The majority of patients are female but, interestingly, a high incidence of VCD has been documented in health care workers. A misdiagnosis with asthma leads to hospitalisation, unnecessary use of systemic steroids with related adverse effects, and sometimes tracheostomy and intubation. In a subset of VCD patients, the disease can be attributed to occupational or environmental exposure to inhaled irritants. Materials and Methods: We report the case of a 45-year-old woman, working as a nurse, who complained of wheezing, cough, dyspnoea related to inhalation of irritating agents (isopropylic alcohol, formaldehyde, peracetic acid). She underwent chest radiography, pulmonary function assessment both in the presence and in the absence of symptoms, bronchial provocation with methacholine and bronchodilation test with salbutamol to recognize asthma's features, allergy evaluation by skin prick tests and patch tests and video-laryngoscopy. Results: VCD diagnosis was made on the basis of video-laryngoscopy, that visualized the paradoxical motion of the vocal cords during symptoms, in the absence of other pathologic processes. Conclusions: This case fulfils the proposed criteria for the diagnosis of irritant VCD (IVCD). This is the first report of VCD onset following exposure to several irritants: formaldehyde, glutaraldehyde, isopropylic alcohol, peracetic acid-hydrogen performaldehyde, glutaraldehyde, isopropylic alcohol, peracetic acid-hydrogen perisopropylic alcohol, peracetic acid-hydrogen perisopropylic alcohol, peracetic acid-hydrogen peroxide mixture. These substances are used as cleaning and antiseptic agents in healthcare settings and some ones can also be found in many indoor environments. A correct diagnosis is important both to give the appropriate treatment and for medical legal implications.

show abstract

Paradoxical vocal fold motion: Presentation and treatment options

Cited by 77 publications

References 18 publications

Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico

Estridor y dificultad respiratoria: aproximación neurológica. Caso clínico

Respiratory Retraining Therapy in Long-Term Treatment of Paradoxical Vocal Fold Dysfunction

Irritant vocal cord dysfunction and occupational bronchial asthma: differential diagnosis in a health care worker

Contact Info

Product

Resources

About