Paradoxical Vocal Fold Motion Disorder: Etiology, Clinical Presentation and Diagnosis Pages 3-6

Ceki Paltura1 and Kürşat Yelken2

11Gaziosmanpaşa Taksim Education and Research Hospital, Karayolları Mahallesi, Osmanbey Caddesi 616 Sok. No:10 Gaziosmanpaşa Istanbul, Türkiye; 22Üsküdar Üniversitesi, Altunizade Mh, Haluk Türksoy Sk. No:14 PK:34662 Üsküdar, İstanbul, Türkiye

DOI: http://dx.doi.org/10.12970/2308-7978.2016.04.01.1

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Abstract: Paradoxical vocal fold motion disorder (PVFMD) is a disease characterized by intermittent adduction of the vocal folds during inspiration and/or expiration, causing dyspnea and sensation of throat tightness. Usually there are intermittent symptoms of shortness of breath and inspiratory stridor that may lead patient to emergency units. The disease is frequently misdiagnosed and many patients are treated wrongly. Some neurologic alterations are accused but the etiology is still unclear. The diagnostic work-up should include a detailed history and physical examination, pulmonary function testing, measures of oxygenation and flexible laryngoscopy. Asthma, laryngopharyngeal reflux, some air irritants and some psychologic conditions should be ruled out in differential diagnosis.

Keyword: Intermittent adduction, Paradoxical vocal fold motion disorder, Respiratory distress, Vocal cord dysfunction. Read more