PVCM, PVCD, EPL, and irritable larynx syndrome: What are we talking about and how do we treat it?

Paroxysmal vocal cord movement/motion (PVCM), paroxysmal vocal cord dysfunction (PVCD), episodic paroxysmal laryngospasm (EPL), and irritable larynx syndrome (ILS) are terms used to describe laryngeal dysfunction masquerading as asthma, upper airway obstruction, or functional and organic voice disor...

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Vydané v:Journal of voice Ročník 14; číslo 4; s. 607 - 618
Hlavní autori: Andrianopoulos, Mary V., Gallivan, Gregory J., Gallivan, K. Holly
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Mosby, Inc 01.12.2000
Elsevier Science Ltd
Predmet:
Adolescent
Adult
Aged
Asthma
Behavior management
Behavior Therapy
Comorbidity
Diagnosis, Differential
Disorders
Episodic paroxysmal laryngospasm (EPL)
Female
Flow-volume loop
Gastroesophageal reflux disease (GERD)
Humans
Irritable larynx syndrome (ILS)
Laryngeal Diseases - diagnosis
Laryngeal Diseases - therapy
Laryngology
Larynx
Male
Medical diagnosis
Medical Treatment
Middle Aged
Neurolinguistic programming (NLP)
Obstruction
Paroxysmal vocal cord dysfunction (PVCD)
Paroxysmal vocal cord movement/motion (PVCM)
Phonation Structures
Relaxation
Respiration
Strobovideolaryngoscopy (SVL)
Surgery
Talking
Therapy
Upper airway obstruction
Vocal cords
Vocal Cords - physiopathology
Voice Disorders
Paroxysmal vocal cord movement/motion (PVCM)
Strobovideolaryngoscopy (SVL)
Neurolinguistic programming (NLP)
Episodic paroxysmal laryngospasm (EPL)
Flow-volume loop
Irritable larynx syndrome (ILS)
Gastroesophageal reflux disease (GERD)
Paroxysmal vocal cord dysfunction (PVCD)
ISSN:0892-1997, 1873-4588
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Popis
Shrnutí:Paroxysmal vocal cord movement/motion (PVCM), paroxysmal vocal cord dysfunction (PVCD), episodic paroxysmal laryngospasm (EPL), and irritable larynx syndrome (ILS) are terms used to describe laryngeal dysfunction masquerading as asthma, upper airway obstruction, or functional and organic voice disorders. The differential diagnosis of PVCM, PVCD, EPL, and ILS is critical to successful medical and behavioral management of the patient. During the past 10 years, 27 subjects, ages 15–79 years, were identified to have paroxysms of inspiratory stridor, acute respiratory distress, associated aphonia and dysphonia, resulting in misdiagnosis and unnecessary emergency treatments, including endotracheal intubation, cardiopulmonary resuscitation, massive pharmacotherapy, or tracheostomy. A multifactorial management program is proposed utilizing principles of motor learning, neurolinguistic programming model, respiratory and phonatory synchronization, relaxation techniques, concurrent monitoring of behavioral adjustments, and formal psychological counseling.
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ISSN:0892-1997
1873-4588
DOI:10.1016/S0892-1997(00)80016-8