The forgotten cause of stridor in the emergency department
Tian-Tee Ng Ear, Nose and Throat Unit, Department of Surgery, Frankston Hospital, Peninsula Health, Frankston, VIC, Australia Abstract: Paradoxical Vocal Fold Movement Disorder is where the larynx exhibits paradoxical vocal cords closure during respiration, creating partial airway obstructi...
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doaj-e414a3cf81154c5894420703ef22630c2020-11-25T00:56:49ZengDove Medical PressOpen Access Emergency Medicine1179-15002017-01-01Volume 9192230862The forgotten cause of stridor in the emergency departmentNg TTTian-Tee Ng Ear, Nose and Throat Unit, Department of Surgery, Frankston Hospital, Peninsula Health, Frankston, VIC, Australia Abstract: Paradoxical Vocal Fold Movement Disorder is where the larynx exhibits paradoxical vocal cords closure during respiration, creating partial airway obstruction. Causes of vocal fold movement disorder are multifactorial, and patients describe tightness of throat, difficulty getting air in, have stridor, and do not respond to inhalers. We propose using transnasal laryngoscopy examination, which will show narrowing of vocal cords on inspiration, and The Pittsburgh Vocal Cord Dysfunction Index with a cutoff score of ≥4 to distinguish vocal fold movement disorder from asthma and other causes of stridor. Management of paradoxical vocal fold movement disorder involves a combination of pharmacological, psychological, psychiatric, and speech training. Paradoxical vocal fold movement disorder is a very treatable cause of stridor, so long as it is identified and other organic causes are excluded. Keywords: paradoxical vocal fold movement disorder, stridor, emergencyhttps://www.dovepress.com/the-forgotten-cause-of-stridor-in-the-emergency-department-peer-reviewed-article-OAEMvocal cord dysfunctionstridoremergency |
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English |
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Ng TT The forgotten cause of stridor in the emergency department Open Access Emergency Medicine vocal cord dysfunction stridor emergency |
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title |
The forgotten cause of stridor in the emergency department |
title_short |
The forgotten cause of stridor in the emergency department |
title_full |
The forgotten cause of stridor in the emergency department |
title_fullStr |
The forgotten cause of stridor in the emergency department |
title_full_unstemmed |
The forgotten cause of stridor in the emergency department |
title_sort |
forgotten cause of stridor in the emergency department |
publisher |
Dove Medical Press |
series |
Open Access Emergency Medicine |
issn |
1179-1500 |
publishDate |
2017-01-01 |
description |
Tian-Tee Ng Ear, Nose and Throat Unit, Department of Surgery, Frankston Hospital, Peninsula Health, Frankston, VIC, Australia Abstract: Paradoxical Vocal Fold Movement Disorder is where the larynx exhibits paradoxical vocal cords closure during respiration, creating partial airway obstruction. Causes of vocal fold movement disorder are multifactorial, and patients describe tightness of throat, difficulty getting air in, have stridor, and do not respond to inhalers. We propose using transnasal laryngoscopy examination, which will show narrowing of vocal cords on inspiration, and The Pittsburgh Vocal Cord Dysfunction Index with a cutoff score of ≥4 to distinguish vocal fold movement disorder from asthma and other causes of stridor. Management of paradoxical vocal fold movement disorder involves a combination of pharmacological, psychological, psychiatric, and speech training. Paradoxical vocal fold movement disorder is a very treatable cause of stridor, so long as it is identified and other organic causes are excluded. Keywords: paradoxical vocal fold movement disorder, stridor, emergency |
topic |
vocal cord dysfunction stridor emergency |
url |
https://www.dovepress.com/the-forgotten-cause-of-stridor-in-the-emergency-department-peer-reviewed-article-OAEM |
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AT ngtt theforgottencauseofstridorintheemergencydepartment AT ngtt forgottencauseofstridorintheemergencydepartment |
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