Vocal Cord Dysfunction Mimicking Exercise-induced Bronchospasm in Adolescents

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. 971-974 ◽  
Author(s):  
Lawrence P. Landwehr ◽  
Raymond P. Wood ◽  
Florence B. Blager ◽  
Henry Milgrom
Keyword(s):  
Vocal Cord ◽  
Voice Quality ◽  
Airflow Obstruction ◽  
Upper Airway ◽  
Physical Exertion ◽  
Signs And Symptoms ◽  
Vocal Cord Dysfunction ◽  
Vocal Cords ◽  
Inappropriate Treatment ◽  
Exercise Induced

Vocal cord dysfunction (VCD) is a condition defined by an abnormal adduction of the vocal cords. The signs and symptoms of VCD-throat tightness, change in voice quality and airflow obstruction sufficient to cause wheezing, chest tightness, shortness of breath, and cough-are commonly associated with exercise. VCD and exercise-induced bronchospasm (EIB), the term for exacerbation of asthma associated with physical exertion, are both aggravated by exercise and characterized by dyspnea. 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.1 The diagnosis of VCD is best established by observing the vocal cords through a fiberoptic rhinolaryngoscope while the patient is symptomatic.2,3

scholarly journals Vocal Cord Dysfunction: A Frequently Forgotten Entity

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
S. Campainha ◽  
C. Ribeiro ◽  
M. Guimarães ◽  
R. Lima
Keyword(s):  
Vocal Cord ◽  
Direct Observation ◽  
Clinical Presentation ◽  
Upper Airway ◽  
Vocal Cord Dysfunction ◽  
Shortness Of Breath ◽  
Vocal Cords ◽  
Variable Nature

Vocal cord dysfunction (VCD) is a disorder characterized by unintentional paradoxical adduction of the vocal cords, resulting in episodic shortness of breath, wheezing and stridor. Due to its clinical presentation, this entity is frequently mistaken for asthma. The diagnosis of VCD is made by direct observation of the upper airway by rhinolaryngoscopy, but due to the variable nature of this disorder the diagnosis can sometimes be challenging. We report the case of a 41-year old female referred to our Allergology clinics with the diagnosis of asthma. Thorough investigation revealed VCD as the cause of symptoms.

The Psychological Experience of Athletes With Vocal Cord Dysfunction

2013 ◽  
Vol 7 (2) ◽  
pp. 146-160 ◽  
Author(s):  
Tonya Nascimento ◽  
Gershon Tenenbaum
Keyword(s):  
At Risk ◽  
Vocal Cord ◽  
Air Flow ◽  
Vocal Cord Dysfunction ◽  
Vocal Cords ◽  
Respiratory Dysfunction ◽  
Starting Point ◽  
Semistructured Interviews ◽  
Psychological Experiences ◽  
Exercise Induced

Exercise-induced vocal cord dysfunction (VCD) is a respiratory dysfunction where athletes’ vocal cords close prematurely, causing partially or fully obstructed air-flow. Due to a resulting severe decrement in performance and lack of efficacious treatments, this study aimed to discover some of the psychological experiences of athletes with VCD symptoms. Semistructured interviews were conducted with five athletes from three different sports and two mothers of participants. Data were coded for meaningful units and themes by the researcher and one independent rater. Ten psychological facets were derived. Based on the data from these five participants, athletes with VCD may have several common psychological experiences, which may possibly be a result of the breathing disorder. The first seven facets highlight that athletes with VCD may be at risk for burnout. The facets identified are a starting point for sport personnel to plan their treatment and support of athletes in their care.

Vocal Cord Dysfunction Exercise-Induced Laryngeal Obstruction: Case Narratives

2015 ◽  
Vol 20 (6) ◽  
pp. 19-23
Author(s):  
Michael Matheny ◽  
Mary J. Pitti ◽  
Sarah Donovan ◽  
Andrew Getzin
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Dysfunction ◽  
Laryngeal Obstruction ◽  
Exercise Induced

Quantitative and Objective Evaluation of Vocal Cord Function

1983 ◽  
Vol 92 (5) ◽  
pp. 421-423 ◽  
Author(s):  
Eugene Rontal ◽  
H. John Jacob ◽  
Michael Rontal ◽  
Michael I. Rolnick
Keyword(s):  
Vocal Cord ◽  
Screening Tool ◽  
Cost Effective ◽  
Objective Evaluation ◽  
Vocal Cord Dysfunction ◽  
Vocal Cords ◽  
Vocal Cord Function ◽  
Objective Basis ◽  
High Degree

Objective and quantitative evaluation of vocal cord function is a goal that has been difficult for voice clinicians to obtain. To be useful as a clinical screening tool it must be easy to perform, it must produce numerical storable data, it must have a high degree of accuracy, and it must be cost-effective. The results of this study have shown that using the perturbation factor and the equipment described, a successful rate of greater than 93% can be obtained in evaluating vocal cord dysfunction. The results further indicate that this equipment can be used much in the same way as an audiogram to follow-up and clinically evaluate on an objective basis the function of the vocal cords.

A Case of Functional Upper Airway Obstruction Due To Vocal Cord Dysfunction

1996 ◽  
Vol 43 (3) ◽  
pp. 449
Author(s):  
Jung Kyung Suh ◽  
Sang Yeub Lee ◽  
Sang Hwa Lee ◽  
Sang Myun Park ◽  
Jae Youn Cho ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Vocal Cord ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Vocal Cord Dysfunction

Sleep Apnea and Vocal Cord Paralysis Secondary to Type I Chiari Malformation

PEDIATRICS ◽  
1987 ◽  
Vol 80 (2) ◽  
pp. 231-234
Author(s):  
Michael E. Ruff ◽  
W. Jerry Oakes ◽  
Samuel R. Fisher ◽  
Alexander Spock
Keyword(s):  
Sleep Apnea ◽  
Vocal Cord ◽  
Chiari Malformation ◽  
Vocal Cord Paralysis ◽  
Nasal Congestion ◽  
Upper Airway ◽  
Signs And Symptoms ◽  
Type I ◽  
Healthy Children ◽  
Volume Curve

A previously healthy 13-year-old boy d boy wimyelo-myelo-dysplasia who had mild scoliosis was seen with complaints of nasal congestion, noisy nighttime breathing, and difficulty sleeping. Flattening of the inspiratory loop on the flow-volume curve was found on pulmonary function testing, suggesting a variable extrathoracic obstruction due to a laryngeal lesion. Bilateral abductor vocal cord paralysis and sleep apnea developed precipitously following general anesthesia. Further workup demonstrated a type-I Chiari malformation with syringomyelia. Brainstem abnormalities such as Chiari malformation with secondary tenth cranial nerve deficits should be considered in previously healthy children and adolescents with signs and symptoms of upper airway obstruction and apnea.

Variable Vocal Cord Dysfunction Presenting as Wheezing and Exercise-Induced Asthma

1986 ◽  
Vol 23 (5) ◽  
pp. 241-244 ◽  
Author(s):  
Shmuel Kivity ◽  
Haim Bibi ◽  
Yehuda Schwarz ◽  
Yoel Greif ◽  
Marcel Topilsky ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Dysfunction ◽  
Exercise Induced

scholarly journals Eucapnic voluntary hyperpnoea and exercise-induced vocal cord dysfunction: Table 1

2015 ◽  
Vol 1 (1) ◽  
pp. e000065 ◽  
Author(s):  
Julie Turmel ◽  
Simon Gagnon ◽  
Mélanie Bernier ◽  
Louis-Philippe Boulet
Keyword(s):  
Vocal Cord ◽  
Vocal Cord Dysfunction ◽  
Exercise Induced
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