Vocal cord dysfunction in children and adolescents

  title={Vocal cord dysfunction in children and adolescents},
  author={Stephen A. Tilles},
  journal={Current Allergy and Asthma Reports},
  • S. Tilles
  • Published 1 November 2003
  • Medicine
  • Current Allergy and Asthma Reports
Vocal cord dysfunction (VCD) is a nonorganic disorder of the larynx that involves unintentional paradoxical adduction of the vocal cords while breathing. The resultant symptoms can include dyspnea, chest tightness, cough, throat tightness, wheezing, or voice change. Most patients with VCD are female, and among adolescents and children, VCD tends to be triggered by exercise and is typically confused with exercise-induced asthma. Both gastroesophageal reflux disease (GERD) and psychiatric illness… 
Differentiating vocal cord dysfunction from asthma
The gold standard method for the diagnosis of VCD is fiberoptic laryngoscopy, which may also identify concomitant laryngeal abnormalities other than VCD, but as V CD is an intermittent phenomenon, the procedure should be performed while the patient is symptomatic, such as exercise tests.
Vocal Cord Dysfunction: A Review
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.
Vocal Cord Dysfunction in Athletes: Clinical Presentation and Review of the Literature
The definition, epidemiology, possible pathophysiology, diagnosis, and treatment options for vocal cord dysfunction in athletes are discussed in detail.
Vocal cord dysfunction: what do we know?
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.
Gasping for a Diagnosis: Pediatric Vocal Cord Dysfunction.
  • M. Wenzel
  • Medicine
    Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
  • 2019
Paradoxical vocal cord dysfunction: clinical experience and personal considerations.
  • A. Nacci, B. Fattori, I. Dallan
  • Medicine, Psychology
    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale
  • 2007
A retrospective analysis of cases with acute dyspnoea referred to the Department between June 2004 and June 2005 revealed 3 patients with paradoxical vocal cord dysfunction; in 2 of these 3 cases, concomitant psychiatric morbidity was observed and the third also presented gastro-oesophageal reflux.
Bronchial asthma versus paroxysmal vocal-fold dysfunction in patients with exercise-induced respiratory symptoms
Early recognition and precise identification of VFD can avoid inappropriate treatment and Spirometric evaluation is an available procedure that can be implemented for both identifying and monitoring of V FD.
Long-term outcome of vocal cord dysfunction.
  • D. Doshi, M. Weinberger
  • Medicine, Psychology
    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
  • 2006
EVALUATION & MANAGEMENT/ Exercise-Induced Dyspnea:Vocal Cord Dysfunction and Asthma
There is a need to increase AT awareness of VCD and to provide guidelines for the on-field assessment and management of exercise-induced VCD or coexisting V CD and EIA.
Vocal Cord Dysfunction: Etiologies and Treatment
This manuscript provides a comprehensive review of the reported causative factors and treatments for vocal cord dysfunction.


Vocal cord dysfunction mimicking exercise-induced bronchospasm in adolescents.
The clinical presentation of VCD is often dramatic and its misdiagnosis as asthma, EIB, or upper airway obstruction has led to inappropriate treatment including highdose corticosteroids, intubation, and tracheostomy.
Clinical features of vocal cord dysfunction.
It is concluded that VCD can masquerade as asthma and that it often coexists with asthma.
Vocal cord dysfunction masquerading as exercise-induced asthma. a physiologic cause for "choking" during athletic activities.
Although the combination of exertion and wheezing suggested the diagnosis of exercise-induced asthma, the patients' histories were sufficiently unique so as to represent a recognizable syndrome, and the clinical impression of a functional disorder was confirmed by bronchoprovocations that demonstrated the variable extrathoracic airway obstruction of vocal cord dysfunction.
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.
Vocal cord dysfunction: don't mistake it for asthma.
Vocal cord dysfunction (VCD), with its symptoms of stridor, air hunger, and chest or throat tightness, occurs primarily in active adolescents and young adults and may mimic exercise-induced asthma.
Paradoxical vocal cord dysfunction in juveniles.
OBJECTIVE To evaluate demographic and videolaryngoscopic features in a large series of juveniles with paradoxical vocal cord dysfunction (PVCD). DESIGN Case series data from videolaryngoscopic
Paradoxical vocal fold motion: presentation and treatment options.
Functional stridor in adolescents.
Paradoxical vocal cord dysfunction in an infant with stridor and gastroesophageal reflux.