scholarly journals Endoscopic aspects and associated factors in paradoxical vocal fold movement

Author(s):  
Bianca Fidelix Espindula ◽  
Evelise Lima ◽  
Ascédio Jose Rodrigues ◽  
Alberto Cukier
2021 ◽  
pp. 000348942199015
Author(s):  
Kevin Calamari ◽  
Stephen Politano ◽  
Laura Matrka

Objectives: Expiratory disproportion index (EDI) is the ratio of forced expiratory volume in 1 second (FEV1) divided by peak expiratory flow rate (PEFR) multiplied by 100. Prominent EDI (>50) values can differentiate subglottic stenosis (SGS) from paradoxical vocal fold movement disorder (PVFMD), but this has not been verified when considering body habitus. We hypothesize that the predictive value of elevated EDI in differentiating SGS from PVFMD will be lower in obese patients than non-obese patients. Methods: Patients ≥ 18 years old with recorded PFT values, BMI, and airway imaging were reviewed retrospectively from 01/2011 to 10/2018. EDI was recorded for 4 cohorts: non-obese/SGS, non-obese/ PVFMD, obese/SGS, and obese/ PVFMD, to determine the mean EDI and the sensitivity/specificity of an elevated EDI. Results: Mean EDI values were 69.32 and 48.38 in the non-obese SGS and PVFMD groups, respectively ( P < .01). They were 58.89 and 47.67 in the obese SGS and PVFMD groups, respectively ( P < .05). At a threshold of >50, EDI had a sensitivity of 90.0% and specificity of 51.6% in differentiating between SGS and PVFMD cases in non-obese patients and 51.6% and 63.6% in obese patients. Conclusion: Prior literature has established that EDI can distinguish SGS from PVFMD in the general population. Our results show that the mean EDI values were significantly different in both cohorts, but an elevated EDI was not as sensitive at identifying SGS cases in obese patients. This suggests that the EDI should be used with caution in obese patients and should not be relied upon to rule out SGS. Level of Evidence: 3.


1997 ◽  
Vol 11 (3) ◽  
pp. 368-372 ◽  
Author(s):  
Sílvia M.R. Pinho ◽  
Domingos H. Tsuji ◽  
Luis Sennes ◽  
Marcia Menezes

2012 ◽  
Vol 126 (3) ◽  
pp. 328-330 ◽  
Author(s):  
J van Griethuysen ◽  
C Al Yaghchi ◽  
G Sandhu

AbstractObjective:We report a novel bilateral suture lateralisation technique that allowed permanent tracheostomy decannulation in a patient with severe paradoxical vocal fold movement.Case report:A 45-year-old woman presented to the accident and emergency department with worsening shortness of breath. Flexible nasoendoscopy revealed limited vocal fold abduction and an emergency tracheostomy was sited; this was subsequently changed to a long-term Silver Negus tube. Her tracheostomy care was complicated by discomfort and dislodgement. The diagnosis of paradoxical vocal fold movement was only made when the patient presented to our department. Cognitive behaviour therapy and botulinum toxin injection were tried without success. A right vocal fold lateralisation procedure was performed, which enabled temporary tracheostomy decannulation. A left vocal fold lateralisation procedure was subsequently performed and the patient was successfully decannulated, with significant improvement in quality of life.Conclusion:Paradoxical vocal fold movement is a rare condition that is most commonly managed by biofeedback sessions, relaxation manoeuvres or botulinum toxin injection. However, in cases similar to ours in which these treatments are unsuccessful, we suggest a ‘last resort’ technique to manage this rare condition.


2007 ◽  
Vol 59 (5) ◽  
pp. 256-267 ◽  
Author(s):  
Anne E. Vertigan ◽  
Deborah G. Theodoros ◽  
Alison L. Winkworth ◽  
Peter G. Gibson

2017 ◽  
Vol 32 (1) ◽  
pp. 27-29
Author(s):  
Tracy Camille P. Chan ◽  
Ma. Clarissa S. Fortuna ◽  
Patric S. Enriquez

Objective: To determine the prevalence of benign vocal cord lesions among Filipino patients in a tertiary institution and identify the demographic characteristics and possible risk factors found among these patients.   Methods Study Design:            Retrospective case series Setting:                       Private tertiary hospital Subjects:                    Records of 2,375 patients who underwent laryngeal video endoscopy and stroboscopy from 2012-2014 were reviewed. Results: There were 632 records of patients with benign vocal fold lesions, of which nodules were most common (211, 33.38%), followed by Reinke’s edema (165, 26.10%), cysts (122, 19.30%), and polyps (74, 11.70%), with hoarseness as the most common symptom (542, 85.76%).  More than half (336, 53.16%) were aged 21-40 years, and almost two-thirds (469, 74.21%) were female. The most common associated factors were caffeine intake (445, 70.41%) and inadequate water intake (370, 58.54%), followed by alcohol (253, 40.03%). Smoking was only present in 146 (23.19%). Conclusion: Baseline evidence on the prevalence of benign vocal fold lesions in this institution as well as baseline data on the common characteristics and associated factors seen in the sample population may assist us in current practices and guide future studies directed toward treatment and prevention.   Keywords: Vocal Cord; Stroboscopy; Vocal Cord Nodules; Benign Vocal Cord; Stroboscopy/Benign; Stroboscopy/Nodules  


2008 ◽  
Vol 60 (4) ◽  
pp. 210-216 ◽  
Author(s):  
Anne E. Vertigan ◽  
Deborah G. Theodoros ◽  
Alison L. Winkworth ◽  
Peter G. Gibson

2019 ◽  
Vol 130 (6) ◽  
pp. 1508-1513 ◽  
Author(s):  
Robert T. Cristel ◽  
Parker T. Russell ◽  
H. Steven Sims

Sign in / Sign up

Export Citation Format

Share Document