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Vocal cord dysfunction

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https://www.readbyqxmd.com/read/27865877/cough-in-the-athlete-chest-guideline-and-expert-panel-report
#1
Louis-Philippe Boulet, Julie Turmel, Richard S Irwin
BACKGROUND: Cough is a common symptom experienced by athletes, particularly after exercise. We performed a systematic review to assess in this population: 1) the main etiologies of acute and recurrent cough, either exercise-induced or not; 2) how it is assessed; and 3) how cough is treated in this population. From the systematic review, suggestions for management were developed. METHOD: ology: This review was done according to the CHEST methodological guidelines and GRADE framework up to April 2015...
November 16, 2016: Chest
https://www.readbyqxmd.com/read/27780384/predicting-feeding-tube-and-tracheotomy-dependence-in-laryngeal-cancer-patients
#2
John Patrick Lavo, David Ludlow, Matt Morgan, Gloria Caldito, Cherie-Ann Nathan
CONCLUSIONS: The two scales reliably measure laryngeal edema and dysfunction in laryngeal cancer patients. The eight categories from these scales, and abnormal pharyngeal squeeze, can be used to form a new rating scale intended to help clinicians identify and circumvent swallowing complications after chemo-irradiation. OBJECTIVES: The objectives were to compare two laryngeal edema rating scales in laryngeal cancer patients and determine if post-radiation +/- chemotherapy edema predicts dependence on a feeding tube and/or tracheostomy...
October 26, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27779980/minimally-invasive-video-assisted-thyroidectomy-almost-a-decade-of-experience-at-an-academic-center
#3
Ethan Frank, Joshua Park, Alfred Simental, Christopher Vuong, Yuan Liu, Daniel Kwon, Yi Lin, Pedro Andrade Filho
Minimally invasive video-assisted thyroidectomy (MIVAT) has gained acceptance as an alternative to conventional thyroidectomy. This technique results in less bleeding, postoperative pain, shorter recovery time, and better cosmetic results without increasing morbidity. We retrospectively assessed outcomes in 583 patients having MIVAT from May 2005 to September 2014. The study population was divided into groups according to periods: 2005 to 2009 and 2010 to 2014. Operative data, complications, and length of stay were collected and compared...
October 2016: American Surgeon
https://www.readbyqxmd.com/read/27779300/-results-of-vagal-nerve-stimulation-in-patients-with-pharmacoresistant-epilepsy-in-a-national-epilepsy-referral-centre
#4
P Roldan-Ramos, L A Reyes-Figueroa, J Rumia, E Martinez-Lizana, A Donaire, M Carreno-Martinez
AIM: To describe clinical results and complications derived from vagal nerve stimulation therapy in drug resistant epileptic patients unsuitable for other surgical treatments, since the first implant in an epilepsy national referral centre. PATIENTS AND METHODS: A retrospective analysis of the patients implanted in our centre was held. Data related to baseline characteristics of their epilepsy and therapy complications was collected. RESULTS: 32 new implants in 31 patients are included, mean age of 34 years, 29...
November 1, 2016: Revista de Neurologia
https://www.readbyqxmd.com/read/27715354/validated-questionnaires-heighten-detection-of-difficult-asthma-comorbidities
#5
Naghmeh Radhakrishna, Tunn Ren Tay, Fiona Hore-Lacy, Robert Stirling, R Hoy, Eli Dabscheck, Mark Hew
Objective Multiple extra-pulmonary comorbidities contribute to difficult asthma, but their diagnosis can be challenging and time consuming. Previous data on comorbidity detection have focused on clinical assessment, which may miss certain conditions. We aimed to locate relevant validated screening questionnaires to identify extra-pulmonary comorbidities that contribute to difficult asthma, and evaluate their performance during a difficult asthma evaluation. Methods MEDLINE was searched to identify key extra-pulmonary comorbidities that contribute to difficult asthma...
October 7, 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/27664415/abnormal-vocal-cord-movement-in-patients-with-and-without-airway-obstruction-and-asthma-symptoms
#6
Kathy Low, Laurence Ruane, Nizam Uddin, Paul Finlay, Kenneth K Lau, Kais Hamza, Peter W Holmes, Garun Hamilton, Philip G Bardin
BACKGROUND: Abnormal vocal cord movements can cause laryngeal extrathoracic airway obstruction (often called vocal cord dysfunction - VCD) leading to asthma-like symptoms. These aberrant movements are characteristically present during inspiration and termed paradoxical vocal cord movement (PVCM). We have reported PVCM in up to 40% of severe asthmatics but it is not known if PVCM is detectable in all patients with asthma-like symptoms and if the condition is more often associated with abnormal lung function...
September 24, 2016: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/27600559/botulinum-toxin-injection-in-laryngeal-dyspnea
#7
Virginie Woisard, Xuelai Liu, Marie Christine Arné Bes, Marion Simonetta-Moreau
Data, regarding the use of botulinum toxin (BT-A) in laryngeal dyspnea, are scarce, coming from some cases reports in the literature, including Vocal fold paralysis, laryngeal dystonia, vocal cord dysfunction also called paradoxical motion of the vocal fold (PMVF), and post-neuroleptic laryngeal dyskinesia. There is no consensus regarding the muscles and the doses to inject. The aim of this study is to present a retrospective review of patients treated in our ENT Department by BT-A injection in this indication...
September 6, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27590638/clinical-associations-in-the-diagnosis-of-vocal-cord-dysfunction
#8
Rung-Chi Li, Umesh Singh, Hugh Porter Windom, Stephen Gorman, Jonathan A Bernstein
BACKGROUND: Diagnosis of VCD is complicated by its symptom similarities to asthma. Although clinical history, spirometry, and fiberoptic nasolaryngoscopy are used for VCD diagnosis, videostroboscopy is considered the gold standard. However, little is know about patient characteristics that might suggest a VCD diagnosis is more likely. OBJECTIVE: To identify clinical characteristics of patients suspected of having VCD that would increase the likelihood of an accurate diagnosis before videostroboscopy...
October 2016: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/27567392/inhaled-mannitol-as-a-laryngeal-and-bronchial-provocation-test
#9
Tunn Ren Tay, Ryan Hoy, Amanda L Richards, Paul Paddle, Mark Hew
OBJECTIVES: Timely diagnosis of vocal cord dysfunction (VCD), more recently termed "inducible laryngeal obstruction," is important because VCD is often misdiagnosed as asthma, resulting in delayed diagnosis and inappropriate treatment. Visualization of paradoxical vocal cord movement on laryngoscopy is the gold standard for diagnosis, but is limited by poor test sensitivity. Provocation tests may improve the diagnosis of VCD, but the diagnostic performance of current tests is less than ideal...
August 23, 2016: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/27544828/sleep-disordered-breathing-as-a-delayed-complication-of-iatrogenic-vocal-cord-trauma
#10
Saadia A Faiz, Lara Bashoura, Lavanya Kodali, Amy C Hessel, Scott E Evans, Diwakar D Balachandran
A case of a 55-year-old woman with iatrogenic vocal cord trauma and sleep-related symptoms is reported. In particular, this case highlights sleep-disordered breathing as a delayed complication after iatrogenic vocal cord trauma. The patient developed acute stridor from a contralateral vocal cord hematoma following vocal fold injection for right vocal cord paralysis. Acute respiratory symptoms resolved with oxygen, steroids, and nebulized therapy, but nocturnal symptoms persisted and polysomnography revealed sleep-related hypoventilation and mild obstructive sleep apnea...
June 2016: Sleep Medicine
https://www.readbyqxmd.com/read/27522309/acute-management-of-paradoxical-vocal-fold-motion-vocal-cord-dysfunction
#11
Nizhoni Denipah, Christopher M Dominguez, Erik P Kraai, Tania L Kraai, Paul Leos, Darren Braude
Paradoxical vocal fold motion disorder, also commonly termed vocal cord dysfunction, is a poorly understood cause of acute upper airway obstruction. Patients with paradoxical vocal fold motion frequently present to the emergency department (ED) with acute respiratory distress and stridor. Lack of familiarity with this disorder may lead to delayed diagnosis or misdiagnosis and unnecessary intubations or surgical airway procedures. Although long-term management of paradoxical vocal fold motion is well described, there is a paucity of information about acute evaluation and management...
August 10, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27519599/sports-ultrasound-applications-beyond-the-musculoskeletal-system
#12
Jonathan T Finnoff, Jeremiah Ray, Gianmichael Corrado, Deanna Kerkhof, John Hill
BACKGROUND: Traditionally, ultrasound has been used to evaluate musculoskeletal injuries in athletes; however, ultrasound applications extend well beyond musculoskeletal conditions, many of which are pertinent to athletes. EVIDENCE ACQUISITION: Articles were identified in PubMed using the search terms ultrasound, echocardiogram, preparticipation physical examination, glycogen, focused assessment with sonography of trauma, optic nerve, and vocal cord dysfunction...
September 2016: Sports Health
https://www.readbyqxmd.com/read/27510647/specific-patterns-of-laryngeal-electromyography-during-wakefulness-are-associated-to-sleep-disordered-breathing-and-nocturnal-stridor-in-multiple-system-atrophy
#13
E Alfonsi, M Terzaghi, G Cosentino, C Tassorelli, R Manni, N Pozzi, R De Icco, G Bertino, M Todisco, E Alvisi, M Fresia, C Pacchetti, R Zangaglia, P Prunetti, A Moglia
BACKGROUND: Nocturnal stridor and respiratory abnormalities are important features of multiple system atrophy (MSA) with relevance to patient survival, and they are detected and evaluated mainly through video-polysomnography (video-PSG). Diurnal laryngoscopy seems to yield abnormal findings only in the presence of significant vocal cord (VC) dysfunction. AIM: To assess whether specific electrophysiological patterns of diurnal EMG of VC muscles may indicate nocturnal stridor or respiratory dysfunctions in MSA patients...
October 2016: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/27492717/exercise-inducible-laryngeal-obstruction-diagnostics-and-management
#14
Ola Drange Røksund, John-Helge Heimdal, Hege Clemm, Maria Vollsæter, Thomas Halvorsen
Obstruction of the central airways is an important cause of exercise-induced inspiratory symptoms (EIIS) in young and otherwise healthy individuals. This is a large, heterogeneous and vastly understudied group of patients. The symptoms are too often confused with those of asthma. Laryngoscopy performed as symptoms evolve during increasing exercise is pivotal, since the larynx plays an important role in symptomatology for the majority. Abnormalities vary between patients, and laryngoscopic findings are important for correct treatment and handling...
July 18, 2016: Paediatric Respiratory Reviews
https://www.readbyqxmd.com/read/27486227/asthma-and-vocal-cord-dysfunction-can-you-tell-the-difference
#15
Michael Corjulo, Sally Schoessler
School nurses care for students with asthma on a daily basis, but what happens when the asthma medication is administered and symptoms persist? As a part of care coordination, the school nurse provides ongoing assessment and care for students with asthma. When symptoms persist despite treatment, school nurses need to consider other issues such as Vocal Cord Dysfunction (VCD). The purpose of this article is to highlight the similarities and differences in the pathophysiology and treatment of both asthma and VCD...
August 2, 2016: NASN School Nurse
https://www.readbyqxmd.com/read/27483542/chronic-left-lower-lobe-pulmonary-infiltrates-during-military-deployment
#16
John C Hunninghake, Andrew J Skabelund, Michael J Morris
Deployment to Southwest Asia is associated with increased airborne hazards such as geologic dusts, burn pit smoke, vehicle exhaust, or air pollution. There are numerous ongoing studies to evaluate the potential effects of inhaled particulate matter on reported increases in acute and chronic respiratory symptoms. Providers need to be aware of potential causes of pulmonary disease such as acute eosinophilic pneumonia, asthma, and vocal cord dysfunction that have been associated with deployment. Other pulmonary disorders such as interstitial lung disease are infrequently reported...
August 2016: Military Medicine
https://www.readbyqxmd.com/read/27363539/comorbidities-in-difficult-asthma-are-independent-risk-factors-for-frequent-exacerbations-poor-control-and-diminished-quality-of-life
#17
Tunn Ren Tay, Naghmeh Radhakrishna, Fiona Hore-Lacy, Catherine Smith, Ryan Hoy, Eli Dabscheck, Mark Hew
BACKGROUND AND OBJECTIVE: Little is known about how comorbidities affect difficult asthma patients across different domains of asthma outcomes. We hypothesized that comorbidities in difficult asthma significantly influence asthma outcomes. METHODS: We analysed 90 consecutive patients who underwent systematic assessment at our hospital's difficult asthma clinic. Eight comorbidities were assessed in all patients. They were allergic rhinitis, chronic rhinosinusitis (CRS), gastroesophageal reflux disease, obesity, obstructive sleep apnoea, anxiety or depression, dysfunctional breathing (DB) and vocal cord dysfunction (VCD)...
November 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/27332956/exercise-associated-excessive-dynamic-airway-collapse-in-military-personnel
#18
Daniel J Weinstein, James E Hull, Brittany L Ritchie, Jackie A Hayes, Michael J Morris
RATIONALE: Evaluation of military personnel for exertional dyspnea can present a diagnostic challenge, given multiple unique factors that include wide variation in military deployment. Initial consideration is given to common disorders such as asthma, exercise-induced bronchospasm, and inducible laryngeal obstruction. Excessive dynamic airway collapse has not been reported previously as a cause of dyspnea in these individuals. OBJECTIVES: To describe the clinical and imaging characteristics of military personnel with exertional dyspnea who were found to have excessive dynamic collapse of large airways during exercise...
September 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27171808/paradoxical-vocal-cord-motion-in-pediatric-patients
#19
John Palla, Aaron D Friedman
Paradoxical vocal cord motion (PVCM), also termed vocal cord dysfunction, is a poorly understood disorder of episodic dyspnea characterized by inappropriate vocal cord adduction during inspiration and potentially during expiration. It can coexist or be confused with asthma, so appropriate diagnosis is key to optimizing treatment success. Although many patients with PVCM may have underlying psychologic issues, there is emerging evidence to suggest that this entity is not psychogenic in every patient. Both laryngeal irritants and exercise have been identified as additional contributing factors in PVCM...
May 1, 2016: Pediatric Annals
https://www.readbyqxmd.com/read/26999914/mitral-stenosis-presenting-as-asthma
#20
Shenjing Li, Aiham Jbeli, Maria Stys, Adam Stys
Although wheezing is one of the most common symptoms and physical findings in asthma, other causes of wheezing should be kept in mind: vocal cord dysfunction, postnasal drip syndrome, chronic obstructive pulmonary disease, bronchiectasis, and non-pulmonary diseases, like heart failure and pulmonary edema. Here, we present a case of severe mitral stenosis with pulmonary edema treated for resistant asthma. If asthma is difficult to control, other etiologies of wheezing, including cardiac disease, should be taken into consideration during diagnosis...
February 2016: South Dakota Medicine: the Journal of the South Dakota State Medical Association
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