Post-COVID-19 paradoxical vocal cord movement and dysfunctional dysphonia: A clinical case.

Respir Med Case Rep

Department of Pulmonary and Critical Care Medicine, Hotel Dieu de France University Medical Center (HDFMC), The Saint-Joseph University (USJ), Beirut, Lebanon.

Published: July 2022

Introduction: Post-COVID persistent dyspnea linked to a paradoxical vocal fold movement has rarely been described, and it has never been described as associated with dysfunctional dysphonia.

Case Study: We present a case of a 46-year-old patient with severe history who presented to our hospital for persistent cough, dysphonia, and A chest scan done was normal. The patient was treated by empiric bronchodilators with inhaled corticosteroids but without any improvement. A bronchoscopy was done and revealed spontaneous paradoxical vocal fold movement and dysfunctional dysphonia. The patient was referred to a speech therapist, and her problem was resolved.

Conclusion: Resistant dyspnea to empiric treatment, after should suggest the diagnosis of paradoxical vocal fold movement. Laryngoscopy should be done to confirm the diagnosis, and the patient should be referred to a speech therapist.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287584PMC
http://dx.doi.org/10.1016/j.rmcr.2022.101710DOI Listing

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