Paradoxical vocal fold movements as a functional cause of laryngeal dyspnoea and hoarseness

Authors

  • Marzena Mielczarek Uniwersytet Medyczny w Łodzi, Klinika Otolaryngologii, Onkologii Laryngologicznej, Audiologii i Foniatrii, ul. Żeromskiego 113, 90-549 Łódź https://orcid.org/0000-0001-5400-6094
  • Hanna Zielińska‑Bliźniewska Uniwersytet Medyczny w Łodzi, Klinika Otolaryngologii, Onkologii Laryngologicznej, Audiologii i Foniatrii, ul. Żeromskiego 113, 90-549 Łódź https://orcid.org/0000-0001-8311-5513
  • Jurek Olszewski Uniwersytet Medyczny w Łodzi, Klinika Otolaryngologii, Onkologii Laryngologicznej, Audiologii i Foniatrii, ul. Żeromskiego 113, 90-549 Łódź https://orcid.org/0000-0002-8868-9679

DOI:

https://doi.org/10.18778/2544-7238.03.09

Keywords:

paradoxical vocal fold movements, laryngeal dyspnoea, hoarseness, stridor, psychosomatic disorders

Abstract

Paradoxical vocal fold movements is a complex and heterogenic syndrome. It is a functional disorder manifesting itself as a pathological adduction of vocal folds in the inspiratory and/ or expiratory phase, resulting in airway obstruction and dyspnoea. This pathology may appear as an extreme form of psychosomatization involving otolaryngological organs, leading to dyspnoea and stridor. The paper presents the case of a young woman who was admitted to hospital due to dyspnoea, stridor and hoarseness. The paper presents the clinical picture, diagnostics and therapeutic procedures which were used.

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References

Appelblatt N. H., Baker S. R., 1981, Functional upper airway obstruction, „Archives of Otolaryngology”, no. 107, s. 305–306. DOI: https://doi.org/10.1001/archotol.1981.00790410043011

Bahrainwala A. H., Simon M. R., 2001, Wheezing and vocal cord dysfunction mimicking asthma, „Current Opinion in Pulmonary Medicine”, vol. 7(1), s. 8–13. DOI: https://doi.org/10.1097/00063198-200101000-00002

Brown T.M., Merritt W. D., Evans D. L., 1988, Psychogenic vocal cord dysfunction masquerading as asthma, „The Journal of Nervous and Mental Disease”, no. 176, s. 308–310. DOI: https://doi.org/10.1097/00005053-198805000-00011

Brugman S.M., 2003, The many faces of vocal cord dysfunction: what 36 years of literature tell us, „American Journal of Respiratory and Critical Care Medicine”, vol. 167(7).

Christopher K. L., Wood R. P., Eckert R. C., Blager F. B., Raney R. A., Souhrada J. F., 1983, Vocal‑cord dysfunction presenting as asthma, „New England Journal of Medicine”, no. 308, s. 1566–1570. DOI: https://doi.org/10.1056/NEJM198306303082605

Ciccolella D. E., Brennan K. J., Borbely B., Criner G. J., 1997, Identification of vocal cord dysfunction (VCD) and other diagnoses in patients admitted to an inner city university hospital asthma center. Abstract, „American Journal of Respiratory and Critical Care Medicine”, vol. 155: A82.

Collett P. W., Brancatisano T., Engel L. A., 1983, Spasmodic croup in the adult, „The American Review of Respiratory Disease”, no. 127, s. 500–504. DOI: https://doi.org/10.1164/arrd.1983.127.4.500

Collett P. W., Brancatisano T., Konno K., 1983, Changes in glottic aperture during bronchial asthma, „American Review of Respiratory Diseases”, no. 128, s. 719–723.

Dunn N. M., Katial R. K., Hoyte F. C.L., 2015, Vocal cord dysfunction: a review, „Asthma Research and Practice”, vol. 1, no. 9. DOI: https://doi.org/10.1186/s40733-015-0009-z

Faravelli C., Salvatori S., Galassi F., Aiazzi L., Drei C., Cabras P., 1997, Epidemiology of somatoform disorders: a community survey in Florence, „Social Psychiatry and Psychiatric Epidemiology”, no. 32, s. 24–29. DOI: https://doi.org/10.1007/BF00800664

Franca M. C., 2014, Differential diagnosis in paradoxical vocal fold movement (PVFM): an interdisciplinary task, „International Journal of Pediatric Otorhinolaryngology”, vol. 78(12), s. 2169–2173. DOI: https://doi.org/10.1016/j.ijporl.2014.10.003

Freedman M. R., Rosenberg S. J., Schmaling K. B., 1991, Childhood sexual abuse in patients with paradoxical vocal cord dysfunction, „The Journal of Nervous and Mental Disease”, no. 179, s. 295–298. DOI: https://doi.org/10.1097/00005053-199105000-00009

Ibrahim W. H., Gheriani H. A., Almohamed A. A., Raza T., 2007, Paradoxical vocal cord motion disorder: past, present and future, „Postgraduate Medical Journal”, vol. 83(977), s. 164–172. DOI: https://doi.org/10.1136/pgmj.2006.052522

Jain S., Bandi V., Officer T., Wolley M., Guntupalli K. K., 2006, Role of vocal cord function and dysfunction in patients presenting with symptoms of acute asthma exacerbation, „Journal of Asthma”, vol. 43(3), s. 207–212. DOI: https://doi.org/10.1080/02770900600566892

Kenn K., Schmitz M., 1997, Vocal cord dysfunction, an important differential diagnosis of severe and implausible bronchial asthma, „Pneumologie”, vol. 51(1), s. 14–18.

Koek R. J., Pi E. H., 1989, Acute laryngeal dystonic reactions to neuroleptics, „Psychosomatics”, no. 30, s. 359–364. DOI: https://doi.org/10.1016/S0033-3182(89)72240-4

Koufman J. A., Block C. (2008), Differential diagnosis of paradoxical vocal fold movement, „American Journal of Speech‑Language Pathology”, vol. 17(4), s. 327–334. DOI: https://doi.org/10.1044/1058-0360(2008/07-0014)

Kramer S., Silva B. de, Forrest L. A., Matrka L., 2017, Does treatment of paradoxical vocal fold movement disorder decrease asthma medication use?, „Laryngoscope”, vol. 127(7), s. 1531–1537. DOI: https://doi.org/10.1002/lary.26416

Lacy T. J., McManis S. E., 1994, Psychogenic stridor, „General Hospital Psychiatry”, no. 16, s. 213–223. DOI: https://doi.org/10.1016/0163-8343(94)90104-X

Landwehr L. P., Wood R. P., Blager F. B., Milgrom H., 1996, Vocal cord dysfunction mimicking exercise‑induced bronchospasm in adolescents, „Pediatrics”, vol. 98(5), s. 971–974. DOI: https://doi.org/10.1542/peds.98.5.971

Lawrence S. G., 2007, Laryngeal dyskinesia: An under‑recognized condition, „Emergency Medicine Australia”, no. 19, s. 96-104. DOI: https://doi.org/10.1111/j.1742-6723.2007.00912.x

Loughlin C. J., Koufman J. A., 1996, Paroxysmal laryngospasm secondary to gastroesophageal reflux, „Laryngoscope”, no. 106, s. 1502–1505. DOI: https://doi.org/10.1097/00005537-199612000-00011

Martin R. J., Blager F. B., Gay M. L., Wood R. P., 1987, Paradoxic vocal cord motion in presumed asthmatics, „Seminars in Respiratory Medicine”, no. 8, s. 332–337. DOI: https://doi.org/10.1055/s-2007-1012672

Mathers‑Schmidt B. A., 2001, Paradoxical Vocal Fold Motion: A Tutorial on a Complex Disorder and the Speech‑Language, „American Journal of Speech‑Language Pathology”, vol. 10(2), s. 111–125. DOI: https://doi.org/10.1044/1058-0360(2001/012)

Morris M. J., Allan P. F., Perkins P. J., 2006, Vocal cord dysfunction, „Obstructive Airways Disease”, no. 13, s. 73–86. DOI: https://doi.org/10.1097/01.cpm.0000203745.50250.3b

Morris M. J., Deal L. E., Bean D. R., Grbach V. X., Morgan J. A., 1999, Vocal cord dysfunction in patients with exertional dyspnea, „Chest”, no. 116, s. 1676–1682. DOI: https://doi.org/10.1378/chest.116.6.1676

Morrison M., Rammage L., Emami A. J., 1999, The irritable larynx syndrome, „Journal of Voice”, no. 13, s. 447–455. DOI: https://doi.org/10.1016/S0892-1997(99)80049-6

Newman K. B., Mason U. G., Schmaling K. B., 1995, Clinical features of vocal cord dysfunction, „American Journal of Respiratory and Critical Care Medicine”, no. 152, s. 1382–1386. DOI: https://doi.org/10.1164/ajrccm.152.4.7551399

Ng T. T., 2017, The forgotten cause of stridor in the emergency department, „Open Access Emergency Medicine”, vol. 16, no. 9, s. 19–22. DOI: https://doi.org/10.2147/OAEM.S125593

Niven R. M., Roberts T., Pickering C. A., Webb A. K., 1992, Functional upper airways obstruction presenting as asthma, „Respiratory Medicine”, vol. 86(6), s. 513–516. DOI: https://doi.org/10.1016/S0954-6111(96)80013-8

Patel R. R., Venediktov R., Schooling T., Wang B., 2015, Evidence‑Based Systematic Review: Effects of Speech‑Language Pathology Treatment for Individuals with Paradoxical Vocal Fold Motion, „American Journal of Speech‑Language Pathology”, vol. 24(3), s. 566–584. DOI: https://doi.org/10.1044/2015_AJSLP-14-0120

Patterson R., Schatz M., Horton M., 1974, Munchausen’s stridor: non‑organic laryngeal obstruction, „Clinical & Experimental Allergy”, vol. 4(3), s. 307–310. DOI: https://doi.org/10.1111/j.1365-2222.1974.tb01390.x

Powell D. M., Karanfilov B. I., Beechler K. B., Treole K., Trudeau M. D., Forrest A., 2000, Paradoxical vocal cord dysfunction in juveniles, „Archives of Otolaryngology – Head and Neck Surgery”, no. 126, s. 29–34. DOI: https://doi.org/10.1001/archotol.126.1.29

Ramírez R. J., León I., Rivera L. M., 1986, Episodic laryngeal dyskinesia: Clinical and psychiatric characterization, „Chest”, no. 90, s. 716-721. DOI: https://doi.org/10.1378/chest.90.5.716

Rhodes RK., 2008, Diagnosing vocal cord dysfunction in young athletes, „Journal of the American Association of Nurse Practitioners”, vol. 20(12), s. 608–613. DOI: https://doi.org/10.1111/j.1745-7599.2008.00363.x

Roca M., Gili M., Garcia‑Garcia M., Salva J., Vives M., Garcia Campayo J., Comas A., 2009, Prevalence and comorbidity of common mental disorders in primary care, „Journal of Affective Disorders”, no. 119, s. 52–58. DOI: https://doi.org/10.1016/j.jad.2009.03.014

Rundell K. W., Spiering B. A., 2003, Inspiratory stridor in elite athletes, „Chest”, no. 123, s. 468–474. DOI: https://doi.org/10.1378/chest.123.2.468

Skinner D. W., Bradley P. J., 1989, Psychogenic stridor, „Journal of Laryngology and Otology”, no. 103, s. 383–385. DOI: https://doi.org/10.1017/S0022215100109028

Stoelting R. K., 1987, Pharmacology and physiology in anesthetic practice, Lippincott, Philadelphia.

Tajchman U. W., Gitterman B., 1996, Vocal cord dysfunction associated with sexual abuse, „Clinical Pediatrics”, vol. 35(2), s. 105–108. DOI: https://doi.org/10.1177/000992289603500211

Vertigan A. E., Theodoros D. G., Winkworth A. L., Gibson P. G., 2008, Acoustic and electroglottographic voice characteristics in chronic cough and paradoxical vocal fold movement, „Folia Phoniatrica et Logopaedica”, vol. 60(4), s. 210–216. DOI: https://doi.org/10.1159/000136902

Waal M. W. de, Arnold I. A., Eekhof J. A., Hemert A. M. van, 2004, Somatoform disorders in general practice: prevalence, functional impairment and comorbidity with anxiety and depressive disorders, „British Journal of Psychiatry”, no. 184, s. 470–476. DOI: https://doi.org/10.1192/bjp.184.6.470

Zelcer S., Henri C., Tewfik T. L., Mazer B., 2002, Multidimensional voice program analysis (MDVP) and the diagnosis of pediatric vocal cord dysfunction, „Annals of Allergy, Asthma & Immunology”, no. 88, s. 601–608. DOI: https://doi.org/10.1016/S1081-1206(10)61892-3

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Published

2019-12-30

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How to Cite

Mielczarek, Marzena, Hanna Zielińska‑Bliźniewska, and Jurek Olszewski. 2019. “Paradoxical Vocal Fold Movements As a Functional Cause of Laryngeal Dyspnoea and Hoarseness”. Logopaedica Lodziensia, no. 3 (December): 125-36. https://doi.org/10.18778/2544-7238.03.09.