Background: Functional vocal cord disorders can be a differential diagnosis for postoperative upper airway obstruction requiring urgent intervention. However, this may be unfamiliar to anesthesiologists who would favor inappropriate airway intervention and increased morbidity.
Case Summary: A 61-year-old woman underwent cervical laminectomy, followed by laparoscopic cholecystectomy 10 mo later. Despite adequate reversal of neuromuscular blockade, the patient experienced repetitive respiratory difficulty with inspiratory stridor after extubation. After the second operation, the patient was diagnosed with paradoxical vocal fold motion (PVFM) by an otolaryngologist based on the clinical features and fiberoptic bronchoscopy results, and the patient was successfully treated.
Conclusion: PVFM should be considered a differential diagnosis if a patient presents with stridor after general anesthesia.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10131007 | PMC |
| http://dx.doi.org/10.12998/wjcc.v11.i10.2349 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A retrospective review of infant-inducible laryngeal obstruction a subtype of paradoxical vocal fold motion: Evaluation and management.
Am J Otolaryngol
November 2024
Surgery, Division of Otolaryngology, University of New Mexico Hospital, Albuquerque, NM, USA. Electronic address:
Introduction: There is a paucity of literature on pre-adolescent paradoxical vocal fold motion (PVFM), PVFM is a sub-type of inducible laryngeal obstruction. Studies typically focus on older patients, however the discovery of this entity in pre-adolescent pediatric patients has led to more questions about how this entity manifests differently and is treated differently in younger populations. Initially considered psychosomatic and commonly mistaken for asthma, PVFM etiology is now thought to be associated underlying neurologic conditions and may have irritant triggers with proposed mechanisms related to laryngeal hypersensitivity.
View Article and Find Full Text PDFVocal cord dysfunction: Does laryngeal adduction on laryngoscopy predict disease severity and response to laryngeal retraining therapy?
Laryngoscope Investig Otolaryngol
December 2024
Department of Otolaryngology, College of Medicine University of Arizona Tucson Arizona USA.
Introduction: Vocal cord dysfunction (VCD) is a complex disorder characterized by episodic adduction of the vocal folds during inspiration and expiration, which can lead to dyspnea, wheezing, cough, and acute-onset respiratory distress. Currently, there is a lack of standardized criteria among treating physicians across multiple disciplines, including otolaryngologists, pulmonologists, allergists, and speech and language pathologists, for diagnosis and treatment of VCD, although laryngeal-respiratory retraining therapy (LRT) has emerged as the preferred treatment modality.
Objective: In the present study, we examined the efficacy of LRT in patients presenting with a clinical diagnosis of VCD in the presence and absence of laryngeal adduction on laryngoscopy.
Stress Reduction in Alpaca () Mange Management.
Vet Sci
November 2024
Department for Life Quality Studies, Alma Mater Studiorum University of Bologna, Corso D'Augusto, 237, 47921 Rimini, Italy.
Stress and dermatosis or itching are strictly related to mange caused by spp. and spp. mites, which are particularly stressful in alpacas.
View Article and Find Full Text PDFOptimizing the Diagnosis and Management of Pediatric Inducible Laryngeal Obstruction.
Laryngoscope
October 2024
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Article Synopsis
- Pediatric inducible laryngeal obstruction (ILO) is hard to diagnose and can take a long time for doctors to figure out what's wrong.
- A study looked at 78 kids with ILO from 2015 to 2023, finding that most of them were girls around 14 years old and many thought they had asthma.
- Management mostly included breathing exercises, which worked for some, but many kids still had symptoms after treatment, with it taking about a year on average for things to get better.
A case of paradoxical vocal cord movement misdiagnosed as anaphylaxis.
Allergol Select
July 2024
Ankara Gulhane Training and Research Hospital, Division of Immunology and Allergic Diseases, Ankara, Turkiye.
Introduction: Anaphylaxis is a severe and life-threatening systemic hypersensitivity reaction. The most frequently encountered causes are foods, drugs, and bee venom, but anaphylaxis may also occur idiopathically. Paradoxical vocal cord movement (PVCM), is a cause of upper airway obstruction due to abnormal adduction of vocal cords during inspiration and, to some degree on expiration.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!