Severe obstructive airway disorders and diseases

  title={Severe obstructive airway disorders and diseases},
  author={Katherine A Kendall and Samuel Louie},
  journal={Clinical Reviews in Allergy \& Immunology},
  • K. Kendall, S. Louie
  • Published 1 December 2003
  • Medicine
  • Clinical Reviews in Allergy & Immunology
Vocal Fold Dysfunction is a syndrome characterized by abnormal adduction of the focal folds during inspiration and is the cause of a wide spectrum of clinical manifestations ranging from mild inspiratory stridor to an inability to move any air. Patients present with varying degrees of intermittent respiratory difficulty, the most severe caused by intense laryngospasm. Distinguishing Vocal Fold Dysfunction from Refractory Asthma is important to avoid unnecessary pharmacotherapy and intubation… 
4 Citations
Diagnosis and management of laryngopharyngeal reflux disease
Purpose of reviewLaryngopharyngeal reflux should no longer be underestimated because of its negative impact on the lives of patients and its potentially dangerous long-term complications. Recent
[Expiratory vocal cord dysfunction? Case report and review of the literature].
The case of a patient with attacks of dyspnea with an isolated expiratory paradoxical adduction of the vocal folds is described and it is believed that even expiratories laryngeal dysfunctions could be denoted as subtypes of VCD.
Exspiratorische Vocal Cord Dysfunction?
The case of a patient with attacks of dyspnea with an isolated expiratory paradoxical adduction of the vocal folds with a review of the literature reveals many factors associated with VCD is described.
Techniques of Office-Based Endoscopy: Unsedated Transnasal Endoscopy
Esophagogastroduodenoscopy has been widely accepted as a diagnostic and therapeutic tool for the evaluation and management of foregut disease but most of the morbidity is related to sedation with narcotics and sedative agents, potentially leading to hypoxia, hypotension, cardiac arrhythmia, and respiratory failure.


Vocal-cord dysfunction presenting as asthma.
Five patients with a functional disorder of the vocal cords that mimicked attacks of bronchial asthma were identified, finding that wheezing was due to adduction of the true and false vocal cords throughout the respiratory cycle.
Laryngeal Dysfunction and Pulmonary Disorder
  • R. P. Wood, B. Jafek, R. M. Cherniack
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 1986
Cases will be presented to demonstrate the role of disordered laryngeal function appearing as pulmonary disease and associated with various degrees of underlying pulmonary disease.
Clinical features of vocal cord dysfunction.
It is concluded that VCD can masquerade as asthma and that it often coexists with asthma.
All that wheezes is not asthma. Paradoxical vocal cord movement presenting as severe acute asthma requiring ventilatory support.
Immediate relief of 'bronchospasm' in an asthmatic following tracheal intubation may establish the correct diagnosis and suggest a simple approach to the diagnosis and management of patients whose respiratory distress may be caused by paradoxical vocal cord movement.
The irritable larynx syndrome.
Paradoxical vocal cord motion: An important cause of stridor
Three patients, typically young females who have had a recent upper respiratory infection, present with stridor and respond to supportive care and sedation, and tracheotomy appears to be unnecessary.
A Classification Scheme for Paradoxical Vocal Cord Motion
It is proposed that PVCM be classified according to its underlying etiology and recognize the following causes of the disorder: 1 .
Use of botulinum toxin type A to avoid tracheal intubation or tracheostomy in severe paradoxical vocal cord movement.
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.
Laryngospasm and reflex central apnoea caused by aspiration of refluxed gastric content in adults.
Investigations showed that amyotrophic lateral sclerosis was the cause of the oesophageal motility disorder and an intense antireflux treatment abolished the respiratory attacks in both patients.