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2.
Immunol Allergy Clin North Am ; 39(4): 547-560, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31563188

RESUMO

Vocal cord dysfunction (VCD) is an upper airway disorder characterized by exaggerated and transient glottic constriction causing respiratory and laryngeal symptoms. Although the origin of VCD symptoms is in the upper airway, it is frequently misdiagnosed as asthma resulting in significant morbidity. VCD can coexist with asthma or mimic allergic conditions affecting the upper airway. VCD may be difficult to diagnose, because patients are intermittently symptomatic and VCD awareness in the medical community is underappreciated. Once VCD is diagnosed and treated, most patients report significant improvement in their symptoms as well as a decrease in asthma medication use.


Assuntos
Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/etiologia , Disfunção da Prega Vocal/terapia , Asma/diagnóstico , Diagnóstico Diferencial , Gerenciamento Clínico , Suscetibilidade a Doenças , Humanos , Fenótipo , Avaliação de Sintomas
3.
Clin Sports Med ; 38(4): 563-575, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31472767

RESUMO

Respiratory symptoms and infections are common among athletes. Viral upper respiratory infection symptoms may precede dyspneic symptoms seen in asthmatics or worsen symptoms of exercise-induced bronchoconstriction Knowing how to instruct an athlete on use of inhalers and having an asthma action plan are critical in management of these athletes. Other life-threatening conditions that may be seen are pneumothorax and laryngeal/pharyngeal perforation. Prompt recognition and treatment are crucial if an athlete is suspected to have pulmonary compromise. Laryngeal/pharyngeal perforations are a rare cause of issues within the training room but require a high degree of suspicion to be diagnosed and managed properly.


Assuntos
Asma/tratamento farmacológico , Broncoconstrição , Exercício/fisiologia , Pneumotórax , Infecções Respiratórias , Volta ao Esporte , Asma/diagnóstico , Humanos , Laringe/lesões , Substâncias para Melhoria do Desempenho , Faringe/lesões , Pneumotórax/diagnóstico , Infecções Respiratórias/diagnóstico , Infecções Respiratórias/terapia , Disfunção da Prega Vocal/diagnóstico , Ferimentos e Lesões/diagnóstico
4.
Int J Pediatr Otorhinolaryngol ; 125: 199-200, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31382107

RESUMO

We present a unique case of intermittent paradoxical vocal fold motion (PVFM) as the presenting symptom of a rare underlying neuromuscular disorder in a neonate. Paramyotonia congenita (PC) is an autosomal dominant condition that typically presents in infancy with myotonic episodes affecting the skeletal muscles. Our patient developed intermittent episodes of stridor quickly progressing to apnea shortly after birth that were marked by PVFM on laryngoscopy, ultimately leading to the diagnosis of a previously unrecognized mutation in SCN4A, the gene responsible for PC.


Assuntos
Transtornos Miotônicos/diagnóstico , Disfunção da Prega Vocal/diagnóstico , Apneia/etiologia , Feminino , Humanos , Recém-Nascido , Laringoscopia , Transtornos Miotônicos/complicações , Sons Respiratórios/etiologia , Disfunção da Prega Vocal/etiologia
5.
Pediatr Cardiol ; 40(6): 1296-1303, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31342114

RESUMO

Dysphagia and vocal cord dysfunction are frequent complications after congenital heart surgery. Both are risk factors for aspiration, which can lead to pneumonia, progressive lung disease, and respiratory arrest. A protocol was implemented to promote early detection of aspiration in a high-risk cohort of patients. Retrospective data were collected on all patients under 120 days old who underwent the Norwood procedure, aortic arch repair, Blalock-Taussig shunt placement, or cervical cannulation for extracorporeal membrane oxygenation from 10/2012 to 05/2016 at a single institution. Patients underwent an assessment of symptoms, fiberoptic endoscopic evaluation of swallowing (FEES), and modified barium swallow (MBS) study in the postoperative period prior to initiating oral feeds. Patients with and without aspiration were compared. Of the 96 patients included in the study, one-third (33%) of patients had evidence of vocal cord dysfunction by FEES and just over half (51%) had evidence of aspiration by FEES or MBS. Most (73%) of the patients with aspiration were asymptomatic and a majority (53%) of patients with aspiration had normal vocal cord function. Aspiration is common after congenital heart surgery, and an assessment of vocal cord or swallow function in isolation may lead to underdiagnosis. A comprehensive protocol including MBS and FEES is necessary for the early detection of vocal cord dysfunction and aspiration and may prevent adverse outcomes in high-risk postoperative patients.


Assuntos
Procedimentos Cirúrgicos Cardiovasculares/efeitos adversos , Cardiopatias Congênitas/cirurgia , Complicações Pós-Operatórias/diagnóstico , Aspiração Respiratória/diagnóstico , Estudos de Casos e Controles , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/prevenção & controle , Diagnóstico Precoce , Feminino , Humanos , Recém-Nascido , Masculino , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Aspiração Respiratória/epidemiologia , Aspiração Respiratória/etiologia , Estudos Retrospectivos , Fatores de Risco , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/etiologia
7.
Eur Arch Otorhinolaryngol ; 276(4): 1109-1115, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30834974

RESUMO

PURPOSE: The clinical evaluation of vocal fold movement disorders should contain the electromyography of the laryngeal muscles (LEMG). The most challenging point in LEMG is the right positioning of the EMG needle in the small target muscles. As the results of the EMG have great influence in the decision of treatment it is important to confirm the results of this examination. Anatomical structures of the larynx should be identified with laryngeal ultrasonography and the ultrasonography (US)-guided electromagnetic needle tracking should guide the LEMG needle to the target muscle. METHODS: The thyroarytenoid (TA) and cricothyroid (CT) muscles had been evaluated in 19 patients (20 examinations). The US-guided transcutaneous LEMG using electromagnetic needle tracking was performed by one ENT doctor and all examinations had been video monitored. The videos were analyzed for the accuracy rate and the visibility of the important laryngeal structures. RESULTS: The laryngeal structures were identified in all the cases using laryngeal ultrasonography. The examination times of the US-guided LEMG were acceptable (8 min, 32 s). The US-guided LEMG was feasible in 56 (36 TA, 20 CT) examinations. The TA and CT could be visualized successfully but in 17 examinations (30%) the signal was not stable. We could still reach the target muscles in more than 50% of these cases. CONCLUSION: US-guided electromagnetic needle tracking in LEMG helps to determine the exact position of the laryngeal structures. With further technical improvement of the stability of the electromagnetic needle tracking signal the US-guided electromagnetic needle tracking of the target muscles in the larynx could help to improve the accuracy of the transcutaneous LEMG.


Assuntos
Eletromiografia/métodos , Músculos Laríngeos , Ultrassonografia de Intervenção/métodos , Disfunção da Prega Vocal/diagnóstico , Prega Vocal , Adulto , Idoso , Pontos de Referência Anatômicos , Feminino , Humanos , Músculos Laríngeos/diagnóstico por imagem , Músculos Laríngeos/fisiopatologia , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Prega Vocal/diagnóstico por imagem , Prega Vocal/fisiopatologia
8.
Int. arch. otorhinolaryngol. (Impr.) ; 23(2): 125-130, 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1010076

RESUMO

Introduction: Vocal cord dysfunction is characterized by unintentional paradoxical vocal cord movement resulting in abnormal inappropriate adduction, especially during inspiration; this predominantly manifests as unresponsive asthma or unexplained stridor. It is prudent to be well informed about the condition, since the primary presentation may mask other airway disorders. Objective: This descriptive study was intended to analyze presentations of vocal cord dysfunction in a tertiary care referral hospital. The current understanding regarding the pathophysiology and management of the condition were also explored. Methods: A total of 27 patients diagnosed with vocal cord dysfunction were analyzed based on demographic characteristics, presentations, associations and examination findings. The mechanism of causation, etiological factors implicated, diagnostic considerations and treatment options were evaluated by analysis of the current literature. Results: There was a strong female predilection noted among the study population ( n = 27), which had a mean age of 31. The most common presentations were stridor (44%) and refractory asthma (41%). Laryngopharyngeal reflux disease was the most common association in the majority (66%) of the patients, with a strong overlay of anxiety, demonstrable in 48% of the patients. Conclusion: Being aware of the condition is key to avoid misdiagnosis in vocal cord dysfunction. Fiberoptic laryngoscopy is the diagnostic gold standard to demonstrate paradoxical vocal cord adduction during an attack. A multidisciplinary approach should be adapted for the management, which should be specific and tailored for individual patients (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Prega Vocal/fisiopatologia , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/fisiopatologia , Asma , Espirometria , Diagnóstico Diferencial , Refluxo Laringofaríngeo , Disfunção da Prega Vocal/terapia , Laringoscopia
9.
Indian Pediatr ; 55(10): 905-906, 2018 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-30426958

RESUMO

BACKGROUND: Intractable obstructive apneas requiring multiple intubations are rare in newborns. CASE CHARACTERISTICS: We report a pair of twins born at 29 weeks gestation who had severe obstructive apneas due to Paradoxical Vocal Cord Motion (PVCM). OUTCOME: The symptoms resolved promptly with ipratropium nebulization. Follow-up at 12 months of age revealed normal development. MESSAGE: PVCM should be considered in the differential diagnosis of intractable obstructive apneas in very low birth weight preterm infants.


Assuntos
Apneia/etiologia , Broncodilatadores/administração & dosagem , Ipratrópio/administração & dosagem , Disfunção da Prega Vocal/diagnóstico , Administração por Inalação , Apneia/tratamento farmacológico , Feminino , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Laringoscopia/métodos , Gêmeos , Disfunção da Prega Vocal/complicações , Disfunção da Prega Vocal/tratamento farmacológico , Prega Vocal
11.
J Allergy Clin Immunol Pract ; 6(6): 2087-2095, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29729441

RESUMO

BACKGROUND: Chronic refractory cough (CRC), a phenotype of cough hypersensitivity syndrome (CHS), is a disabling problem. Laryngeal dysfunction may be important in CRC and CHS because laryngeal symptoms are common; however, the role of laryngeal dysfunction in CHS has not been systematically examined. OBJECTIVE: To determine the nature of laryngeal dysfunction in patients with CRC and compare with the related laryngeal conditions of vocal cord dysfunction (VCD) and muscle tension dysphonia (MTD). METHODS: A cross-sectional analytic design was used. We recruited 69 participants including healthy controls and patients with CRC, VCD, and MTD who were referred for behavioral speech interventions. Participants underwent a comprehensive assessment of laryngeal function during breathing, phonation, and swallowing. RESULTS: Cough frequency was high in patients with CRC (10.2 coughs/h) and VCD (16.5 coughs/h), but low in healthy controls (1.5 coughs/h) (P < .001). Patients with CRC, VCD, and MTD had impaired voice-related quality of life (vs controls, P < .05) and laryngeal hypersensitivity (vs controls, P < .05). Most voice assessment measures (3 out of 4) were significantly impaired in the CRC group compared with controls and were similar to the VCD and MTD groups. Paradoxical vocal fold movement during respiration was present in 47% of the patients with CRC at rest and in 67% after odor challenge. Mediolateral laryngeal constriction during phonation was present in 45% of the participants with CRC, 93% of the participants with VCD (P < .001 vs CC), and 64% of the participants with MTD. CONCLUSIONS: Laryngeal dysfunction is common in CRC and CHS and may contribute to CHS mechanisms. Assessment and treatment of laryngeal dysfunction using speech pathology interventions are likely to be beneficial in CHS.


Assuntos
Hipersensibilidade/diagnóstico , Laringe/patologia , Disfunção da Prega Vocal/diagnóstico , Adulto , Idoso , Austrália/epidemiologia , Tosse , Estudos Transversais , Diagnóstico Diferencial , Disfonia , Feminino , Humanos , Hipersensibilidade/epidemiologia , Masculino , Pessoa de Meia-Idade , Tono Muscular , Fonação , Respiração , Síndrome , Disfunção da Prega Vocal/epidemiologia
12.
Curr Probl Pediatr Adolesc Health Care ; 48(4): 124-128, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29653906

RESUMO

Vocal fold motion abnormalities in children are the second most common form of laryngeal pathology seen in children, and often present in the first 24 months of life. A thorough evaluation of the aerodigestive tract will include an examination of the vocal folds, and a proper diagnosis is essential in order to decipher the etiology of swallowing, voicing and breathing abnormalities. This article reviews the workup, management options and clinical outcomes of unilateral and bilateral vocal fold motion impairment in the pediatric population.


Assuntos
Doenças da Laringe/fisiopatologia , Disfunção da Prega Vocal/fisiopatologia , Prega Vocal/patologia , Criança , Eletromiografia , Humanos , Doenças da Laringe/diagnóstico , Doenças da Laringe/terapia , Laringoscopia , Sons Respiratórios , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/terapia
13.
Immunol Allergy Clin North Am ; 38(2): 271-280, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29631735

RESUMO

Exertional dyspnea is common in health and disease. Despite having known for centuries that breathlessness can arise from the larynx, exercise-induced laryngeal obstruction is a more prevalent condition than previously assumed. This article provides a brief overview of the history, epidemiology, and pathophysiology of exercise-induced laryngeal obstruction.


Assuntos
Obstrução das Vias Respiratórias/etiologia , Dispneia/etiologia , Exercício/fisiologia , Disfunção da Prega Vocal/etiologia , Prega Vocal/fisiopatologia , Obstrução das Vias Respiratórias/diagnóstico , Obstrução das Vias Respiratórias/epidemiologia , Obstrução das Vias Respiratórias/fisiopatologia , Diagnóstico Diferencial , Dispneia/diagnóstico , Dispneia/epidemiologia , Dispneia/fisiopatologia , Humanos , Laringoscopia/instrumentação , Laringoscopia/métodos , Prevalência , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/epidemiologia , Disfunção da Prega Vocal/fisiopatologia , Prega Vocal/diagnóstico por imagem
14.
Immunol Allergy Clin North Am ; 38(2): 281-292, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29631736

RESUMO

Exertional dyspnea can be a manifestation of dysfunction in a variety of organ systems. Exercise-induced laryngeal obstruction (EILO), a condition previously known as vocal cord dysfunction and paradoxic vocal fold motion, is defined as inappropriate, reversible narrowing of the larynx during vigorous exercise. EILO is usually characterized by typical symptoms, which nevertheless frequently are confused with those of other conditions, including asthma. Laryngoscopy performed as symptoms evolve from rest to peak exercise is pivotal in patient work-up. Moving forward, laryngoscopy findings that definitively characterize EILO need to be defined as do objective measures that can quantitate absolute laryngeal measurements during exercise.


Assuntos
Obstrução das Vias Respiratórias/diagnóstico , Exercício/fisiologia , Laringoscopia/métodos , Laringe/diagnóstico por imagem , Disfunção da Prega Vocal/diagnóstico , Obstrução das Vias Respiratórias/epidemiologia , Obstrução das Vias Respiratórias/etiologia , Obstrução das Vias Respiratórias/fisiopatologia , Asma Induzida por Exercício/diagnóstico , Asma Induzida por Exercício/fisiopatologia , Diagnóstico Diferencial , Dispneia/diagnóstico , Dispneia/fisiopatologia , Humanos , Laringoscopia/instrumentação , Laringe/fisiopatologia , Exame Físico , Prevalência , Testes de Função Respiratória/métodos , Disfunção da Prega Vocal/epidemiologia , Disfunção da Prega Vocal/etiologia , Disfunção da Prega Vocal/fisiopatologia
15.
Immunol Allergy Clin North Am ; 38(2): 303-315, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29631738

RESUMO

Exercise-induced laryngeal obstruction causes severe shortness of breath during exercise. Episodes are associated with severe distress. These patients and those with inducible laryngeal obstruction triggered by other factors have been noted to demonstrate mental health disorders, personality features that may be associated with symptoms, and dysfunctional stress responses. This literature review calls attention to the observation that patients with isolated exercise-induced laryngeal obstruction are generally mentally healthy. We review available metrics to assess traits and stress responses in performance psychology. We also discuss a therapeutic performance psychology framework.


Assuntos
Obstrução das Vias Respiratórias/psicologia , Atletas/psicologia , Terapia Comportamental/métodos , Disfunção da Prega Vocal/psicologia , Prega Vocal/fisiopatologia , Adolescente , Obstrução das Vias Respiratórias/diagnóstico , Obstrução das Vias Respiratórias/etiologia , Obstrução das Vias Respiratórias/terapia , Terapia Comportamental/tendências , Broncodilatadores/uso terapêutico , Diagnóstico Diferencial , Feminino , Humanos , Laringoscopia , Masculino , Testes de Função Respiratória , Patologia da Fala e Linguagem/métodos , Estresse Psicológico/psicologia , Natação/fisiologia , Natação/psicologia , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/etiologia , Disfunção da Prega Vocal/terapia , Prega Vocal/diagnóstico por imagem
17.
Int J Pediatr Otorhinolaryngol ; 107: 6-9, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29501313

RESUMO

IMPORTANCE: Paradoxical vocal fold motion (PVFM) is a disorder often misdiagnosed in children presenting with shortness of breath and stridor. In infants, little is known about the clinical course and best approach for treatment of PVFM. This retrospective study assesses the approach to treatment and outcomes for infants with PVFM. OBJECTIVE: To investigate the clinical course of paradoxical vocal fold motion (PVFM) in infants. DESIGN: Retrospective review. SETTING: Tertiary academic medical center. PARTICIPANTS: Patients less than 2 years of age diagnosed with PVFM were identified and included in the study. MAIN OUTCOMES AND MEASURES: History, physical exam findings, and clinical course of treatment for patients less than 2 years old with PVFM were reviewed. Findings including those on flexible fiberoptic laryngoscopy (FFL) and subjective assessment by parents and clinicians were compiled for review. RESULTS: Seven infants were diagnosed with PVFM. All patients were full term at birth, and average age at diagnosis was 7 months. All patients initially presented with inspiratory stridor, and two patients had stertor. Two of seven patients also had a history of reactive airway disease and one with laryngomalacia. Five had a history of reflux. Two of seven patients had weight percentiles at diagnosis lower than the 25th percentile, while the remainder were between 37th and 75th percentiles. Initial voice evaluation revealed stridor in all patients, as well as finding of PVFM on FFL. All patients were started on anti-reflux medication. Average time to resolution of PVFM was 5.9 months after treatment. CONCLUSIONS: PVFM can be challenging to diagnose in the infant population. PVFM resolves uneventfully with reflux treatment, however, it is unknown whether reflux treatment is essential or if PVFM would spontaneously resolve. The rarity of infantile PVFM mandates formal evaluation and monitoring by a pediatric otolaryngologist.


Assuntos
Disfunção da Prega Vocal/diagnóstico , Prega Vocal/patologia , Feminino , Humanos , Lactente , Recém-Nascido , Laringoscopia/métodos , Masculino , Prognóstico , Estudos Retrospectivos , Voz
18.
Neumol. pediátr. (En línea) ; 13(2): 48-55, mar. 2018. tab, ilus
Artigo em Espanhol | LILACS | ID: biblio-915484

RESUMO

Exercise-induced dyspnea is a common pediatric question but difficult to address since usually symptoms are described ambiguously by the child or parents. Most of times dyspnea is secondary to poor training but sometimes may be due to an underlying condition like exercise-induced bronchoconstriction or vocal cord dysfunction. To provide clinicians with a practical approach about exercise-induced dyspnea we have review pathogenesis and clinical characteristics of respiratory diseases and proposed an algorithm for study.


Frecuentemente nos vemos enfrentados a evaluar un niño con síntomas vagos asociados al ejercicio que el mismo paciente o sus padres describen como ahogo o sensación de pecho apretado. La mayoría de las veces se trata de cansancio atribuible al ejercicio normal que solo refleja pobre condicionamiento físico del individuo; sin embargo, este cansancio puede ser desproporcionado al esfuerzo, lo que obliga a considerar enfermedades comunes como asma o poco comunes como disfunción de cuerdas vocales. El objetivo de esta revisión es actualizar el conocimiento aquellas enfermedades respiratorias que forman parte del diagnóstico diferencial de la disnea asociada al ejercicio y proponer un algoritmo de estudio que permita un acercamiento práctico según causas de origen.


Assuntos
Humanos , Criança , Asma Induzida por Exercício/fisiopatologia , Obstrução das Vias Respiratórias/fisiopatologia , Dispneia/fisiopatologia , Disfunção da Prega Vocal/fisiopatologia , Asma Induzida por Exercício/diagnóstico , Asma Induzida por Exercício/terapia , Obstrução das Vias Respiratórias/diagnóstico , Obstrução das Vias Respiratórias/terapia , Dispneia/diagnóstico , Dispneia/terapia , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/terapia
19.
Rev Mal Respir ; 35(1): 62-68, 2018 Jan.
Artigo em Francês | MEDLINE | ID: mdl-29397301

RESUMO

INTRODUCTION: Vocal cord dyskinesia or vocal cord dysfunction (VCD) is characterized by intermittent abnormal adduction of the vocal cords leading to airflow limitation at the level of the larynx, in the absence of local organic disease. It may occur in isolation or in association with asthma. The pathophysiology is complex and poorly understood. Wheeze, stridor or apparent upper airway obstruction are the most common symptoms. It occurs in a wide age range, more commonly in women, and diagnosis is often delayed and leads to unnecessary treatments (intubation, tracheostomy and high dose steroids). METHODS: A retrospective study of 15 cases of VCD (8 cases of isolated VCD and 7 cases of VCD with associated asthma) describing the main clinical features and the diagnosis strategy. RESULTS: Apparent upper airway obstruction, with or without associated asthma, requires an ear nose and throat examination with laryngoscopy to confirm the paradoxical adduction of the vocal cords during an acute episode of dyspnoea or during a provocation test with triggers like exercise or exposure to irritants, and for the purpose of differential diagnosis. CONCLUSIONS: VCD remains under-appreciated and misdiagnosed, often by mimicking asthma with which it can be associated. A delayed diagnosis by emergency specialists, pulmonologists and ear nose and throat surgeons leads to unnecessary treatments and morbidity before specific therapy can be given.


Assuntos
Asma/complicações , Asma/diagnóstico , Discinesias/diagnóstico , Disfunção da Prega Vocal/complicações , Disfunção da Prega Vocal/diagnóstico , Prega Vocal/patologia , Adolescente , Adulto , Idoso , Diagnóstico Diferencial , Discinesias/complicações , Dispneia/diagnóstico , Dispneia/etiologia , Feminino , Humanos , Laringoscopia , Masculino , Pessoa de Meia-Idade , Sons Respiratórios , Estudos Retrospectivos , Prega Vocal/diagnóstico por imagem , Adulto Jovem
20.
J Voice ; 32(6): 695-697, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29050660

RESUMO

Exercise-induced laryngeal obstruction (EILO) is the term for the condition previously named vocal cord dysfunction and paradoxical vocal fold motion. It is defined by glottic or supraglottic obstruction during periods of intense exercise. Not all patients respond to conventional therapy with speech-language pathology, behavioral health interventions, and treatment of contributing conditions. In this edition of Journal of Voice, the authors describe a novel series of respiratory retraining techniques, now called Olin EILOBI (EILO biphasic inspiratory) breathing techniques, specifically designed for athletes with EILO. This case presentation describes the discovery of one of these techniques during a session of therapeutic laryngoscopy during exercise. The patient was an adolescent with EILO who demonstrated a positive response to therapy with a variant of these techniques over a few days, having previously struggled with symptoms despite multiple sessions of conventional respiratory retraining over the course of months.


Assuntos
Obstrução das Vias Respiratórias/terapia , Atletas , Exercícios Respiratórios/métodos , Dispneia/terapia , Exercício , Laringoestenose/terapia , Pulmão/fisiopatologia , Mecânica Respiratória , Disfunção da Prega Vocal/terapia , Prega Vocal/fisiopatologia , Voleibol , Adolescente , Obstrução das Vias Respiratórias/diagnóstico , Obstrução das Vias Respiratórias/etiologia , Obstrução das Vias Respiratórias/fisiopatologia , Dispneia/diagnóstico , Dispneia/etiologia , Dispneia/fisiopatologia , Feminino , Humanos , Laringoscopia , Laringoestenose/diagnóstico , Laringoestenose/etiologia , Laringoestenose/fisiopatologia , Recuperação de Função Fisiológica , Resultado do Tratamento , Disfunção da Prega Vocal/diagnóstico , Disfunção da Prega Vocal/etiologia , Disfunção da Prega Vocal/fisiopatologia
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