Acute Management of Paradoxical Vocal Fold Motion (Vocal Cord Dysfunction)

@article{Denipah2017AcuteMO,
  title={Acute Management of Paradoxical Vocal Fold Motion (Vocal Cord Dysfunction)},
  author={Nizhoni Denipah and Christopher M Dominguez and Erik P. Kraai and Tania L Kraai and Paul Leos and Darren Alan Braude},
  journal={Annals of Emergency Medicine},
  year={2017},
  volume={69},
  pages={18–23}
}
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Diagnostic precision in conjunction with optimal therapeutics is a prerequisite for the best patient outcomes in this patient population.
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The data suggests that visual biofeedback effectively reduces short-term subjective symptoms and asthma medication use in PVFM patients.
Vocal Cord Dysfunction: A Review
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The mainstay of VCD treatment requires a multidisciplinary approach and involves recognizing triggers, appropriately managing comorbid diseases, and utilizing breathing exercises and/or speech therapy.
Heliox for inducible laryngeal obstruction (vocal cord dysfunction): A systematic literature review
To perform a systematic literature review on the use of Heliox with patients with inducible laryngeal obstruction/vocal cord dysfunction to: i) identify current evidence base; and ii) establish the…
Factors impacting therapy duration in children and adolescents with Paradoxical Vocal Fold Movement (PVFM)
Speech-Language Pathology as a Primary Treatment for Exercise-Induced Laryngeal Obstruction.
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References

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Paradoxical vocal fold dysfunction (PVFD) is one of many terms used to describe disorders of the upper airway where vocal folds do not present normal patterns during respiration, leading to…
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Behavioral Management of Paradoxical Vocal Fold Motion
TLDR
Though PVFM has been documented across the lifespan, there are certain demographic patterns identified in the literature, including increased prevalence in female patients with the majority of reported cases between the ages of 10 and 40.
Vocal Cord Dysfunction: Etiologies and Treatment
TLDR
This manuscript provides a comprehensive review of the reported causative factors and treatments for vocal cord dysfunction.
Vocal cord dysfunction: what do we know?
TLDR
Speech therapy, including the use of special relaxed-throat breathing patterns is effective for VCD that is purely of the functional nature, and knowledge of the clinical features of VCD and identifying factors that may be contributing to the development can provide adequate clues to the correct diagnosis and management.
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A prospective study of 170 patients older than 18 years being evaluated for PVCM demonstrated a conversion disorder pattern but not an anxiety disorder or a correlation with stress, and proposed that PVCM is a descriptive term that is multifactorial and the etiology should direct treatment.
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A patient with severe PVCM who had required tracheal intubation or tracheostomy at multiple occasions and who presented with acute hypercapnic respiratory failure is described, showing that botulinum toxin type A should be considered in the acute care setting forsevere PVCM.
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This article examines the available retrospective and prospective evidence to present an approach for evaluation of VCD including evaluation of factors associated with VCD, differential diagnosis of movement disorders of the upper airway, and clinical, spirometric, and endoscopic criteria for the diagnosis.
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