Paradoxical vocal fold motion

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Background

Clinical Features

Differential Diagnosis

Evaluation

Workup

Diagnosis

Management

  • Reassurance and breathing techniques to resolve stridor:
    • Jaw thrust while breathing
    • Pursed lip breathing through straw or endotracheal tube
    • Inhale through nose for 3 seconds and exhale through pursed lips for 3 seconds
    • "Pant like a dog" - rhythmic breathing with mouth open and tongue protruding forward
    • 3 sniffs - take 2 quick then 1 slow inhalational sniffs through the nose, exhale slowly through mouth
  • Mild sedatives (eg benzodiazepines) may be effective in cases refractory to breathing techniques[1]

Disposition

See Also

External Links

References

  1. Goldman J, Muers M. Vocal cord dysfunction and wheezing. Thorax. 1991;46(6):401-404. doi:10.1136/thx.46.6.401