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Paradoxical vocal fold motion dysfunction in asthma patients
ABSTRACT Background and objective: Paradoxical vocal fold motion dysfunction (PVFMD) is a disorder of the larynx characterized by adduction of the vocal cords during the respiratory cycle leading to symptoms of extrathoracic airway obstruction. PVFMD mimics asthma and patients with PVFMD (PVFMD+) a...
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| Published in: | Respirology (Carlton, Vic.) Vic.), 2009-07, Vol.14 (5), p.729-733 |
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| container_end_page | 733 |
| container_issue | 5 |
| container_start_page | 729 |
| container_title | Respirology (Carlton, Vic.) |
| container_volume | 14 |
| creator | YELKEN, Kursat YILMAZ, Ayse GUVEN, Mehmet EYIBILEN, Ahmet ALADAG, Ibrahim |
| description | ABSTRACT
Background and objective: Paradoxical vocal fold motion dysfunction (PVFMD) is a disorder of the larynx characterized by adduction of the vocal cords during the respiratory cycle leading to symptoms of extrathoracic airway obstruction. PVFMD mimics asthma and patients with PVFMD (PVFMD+) are often diagnosed incorrectly as refractory asthma and receive unnecessary treatment. This study determined the prevalence of PVFMD in asthma patients and describedthe relationship between asthma and PVFMD.
Methods: A descriptive study of 94 asthmatic patients and 40 control subjects, all of whom were examined via laryngoscopy and had pulmonary function tests were performed.
Results: The prevalence of PVFMD was 19% (n = 18) in the asthmatic group and 5% (n = 2) in the control group (P 0.05). Laryngopharyngeal reflux and allergy were significantly more prevalent in the PVFMD+ group than in the group without PVFMD (PVFMD−) (P |
| doi_str_mv | 10.1111/j.1440-1843.2009.01568.x |
| format | article |
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Background and objective: Paradoxical vocal fold motion dysfunction (PVFMD) is a disorder of the larynx characterized by adduction of the vocal cords during the respiratory cycle leading to symptoms of extrathoracic airway obstruction. PVFMD mimics asthma and patients with PVFMD (PVFMD+) are often diagnosed incorrectly as refractory asthma and receive unnecessary treatment. This study determined the prevalence of PVFMD in asthma patients and describedthe relationship between asthma and PVFMD.
Methods: A descriptive study of 94 asthmatic patients and 40 control subjects, all of whom were examined via laryngoscopy and had pulmonary function tests were performed.
Results: The prevalence of PVFMD was 19% (n = 18) in the asthmatic group and 5% (n = 2) in the control group (P < 0.001). No relationship was found between presence of PVFMD, asthma attacks and asthma severity (P > 0.05). Laryngopharyngeal reflux and allergy were significantly more prevalent in the PVFMD+ group than in the group without PVFMD (PVFMD−) (P < 0.05). The most common symptoms in the PVFMD+ patients were difficulty in breathing (88%), inspiratory stridor (66%) and a choking sensation (50%) and the most common symptoms in PVFMD− asthmatic patients were cough (63%), dyspnoea (55%) and wheezing (51%).
Conclusions: Asthma seems to facilitate the formation of the paradoxical dysfunction in the larynx as the prevalence of PVFMD in asthma patients is significantly higher than in patients with out asthma.</description><identifier>ISSN: 1323-7799</identifier><identifier>EISSN: 1440-1843</identifier><identifier>DOI: 10.1111/j.1440-1843.2009.01568.x</identifier><identifier>PMID: 19659651</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Aged ; asthma ; Asthma - complications ; Asthma - diagnosis ; Asthma - physiopathology ; Case-Control Studies ; Cough - etiology ; Diagnosis, Differential ; Dyspnea - etiology ; Female ; Humans ; Laryngeal Diseases - diagnosis ; Laryngeal Diseases - epidemiology ; Laryngeal Diseases - physiopathology ; Laryngoscopy ; Male ; Middle Aged ; paradoxical vocal fold motion dysfunction ; Prevalence ; Respiratory Function Tests ; Respiratory Sounds - etiology ; Risk Factors ; Severity of Illness Index ; Vocal Cords - physiopathology</subject><ispartof>Respirology (Carlton, Vic.), 2009-07, Vol.14 (5), p.729-733</ispartof><rights>2009 The Authors. Journal compilation © 2009 Asian Pacific Society of Respirology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4738-d8102b911293743867aa56d8c8a647ff97041bad02f85609df30bcdf1313a4483</citedby><cites>FETCH-LOGICAL-c4738-d8102b911293743867aa56d8c8a647ff97041bad02f85609df30bcdf1313a4483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19659651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YELKEN, Kursat</creatorcontrib><creatorcontrib>YILMAZ, Ayse</creatorcontrib><creatorcontrib>GUVEN, Mehmet</creatorcontrib><creatorcontrib>EYIBILEN, Ahmet</creatorcontrib><creatorcontrib>ALADAG, Ibrahim</creatorcontrib><title>Paradoxical vocal fold motion dysfunction in asthma patients</title><title>Respirology (Carlton, Vic.)</title><addtitle>Respirology</addtitle><description>ABSTRACT
Background and objective: Paradoxical vocal fold motion dysfunction (PVFMD) is a disorder of the larynx characterized by adduction of the vocal cords during the respiratory cycle leading to symptoms of extrathoracic airway obstruction. PVFMD mimics asthma and patients with PVFMD (PVFMD+) are often diagnosed incorrectly as refractory asthma and receive unnecessary treatment. This study determined the prevalence of PVFMD in asthma patients and describedthe relationship between asthma and PVFMD.
Methods: A descriptive study of 94 asthmatic patients and 40 control subjects, all of whom were examined via laryngoscopy and had pulmonary function tests were performed.
Results: The prevalence of PVFMD was 19% (n = 18) in the asthmatic group and 5% (n = 2) in the control group (P < 0.001). No relationship was found between presence of PVFMD, asthma attacks and asthma severity (P > 0.05). Laryngopharyngeal reflux and allergy were significantly more prevalent in the PVFMD+ group than in the group without PVFMD (PVFMD−) (P < 0.05). The most common symptoms in the PVFMD+ patients were difficulty in breathing (88%), inspiratory stridor (66%) and a choking sensation (50%) and the most common symptoms in PVFMD− asthmatic patients were cough (63%), dyspnoea (55%) and wheezing (51%).
Conclusions: Asthma seems to facilitate the formation of the paradoxical dysfunction in the larynx as the prevalence of PVFMD in asthma patients is significantly higher than in patients with out asthma.</description><subject>Adult</subject><subject>Aged</subject><subject>asthma</subject><subject>Asthma - complications</subject><subject>Asthma - diagnosis</subject><subject>Asthma - physiopathology</subject><subject>Case-Control Studies</subject><subject>Cough - etiology</subject><subject>Diagnosis, Differential</subject><subject>Dyspnea - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Laryngeal Diseases - diagnosis</subject><subject>Laryngeal Diseases - epidemiology</subject><subject>Laryngeal Diseases - physiopathology</subject><subject>Laryngoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>paradoxical vocal fold motion dysfunction</subject><subject>Prevalence</subject><subject>Respiratory Function Tests</subject><subject>Respiratory Sounds - etiology</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Vocal Cords - physiopathology</subject><issn>1323-7799</issn><issn>1440-1843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqNkFtLwzAYhoMobk7_gvTOq9akOYMIOrepEx0e8DJkTYKdPcym0-3f225j3hpC8kLe7wk8AAQIRqhZ57MIEQJDJAiOYghlBBFlIlruge7uYb_JOMYh51J2wJH3MwghppAegg6SjDYbdcHFRFfalMs00VnwXbanKzMT5GWdlkVgVt4timSd0yLQvv7IdTDXdWqL2h-DA6czb0-2dw-8DQev_dvw4Wl01796CBPCsQiNQDCeSoRiiTnBgnGtKTMiEZoR7pzkkKCpNjB2gjIojcNwmhiHMMKaEIF74GzDnVfl18L6WuWpT2yW6cKWC684xpQzIlnTFJtmUpXeV9apeZXmulopBFWrTs1Ua0i1hlSrTq3VqWUzerr9ZDHNrfkb3LpqCpebwk-a2dW_wep58DJpYwMIN4DU13a5A-jqUzGOOVXvjyM1xsPx_Q29bsIv7JuLJg</recordid><startdate>200907</startdate><enddate>200907</enddate><creator>YELKEN, Kursat</creator><creator>YILMAZ, Ayse</creator><creator>GUVEN, Mehmet</creator><creator>EYIBILEN, Ahmet</creator><creator>ALADAG, Ibrahim</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200907</creationdate><title>Paradoxical vocal fold motion dysfunction in asthma patients</title><author>YELKEN, Kursat ; YILMAZ, Ayse ; GUVEN, Mehmet ; EYIBILEN, Ahmet ; ALADAG, Ibrahim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4738-d8102b911293743867aa56d8c8a647ff97041bad02f85609df30bcdf1313a4483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>asthma</topic><topic>Asthma - complications</topic><topic>Asthma - diagnosis</topic><topic>Asthma - physiopathology</topic><topic>Case-Control Studies</topic><topic>Cough - etiology</topic><topic>Diagnosis, Differential</topic><topic>Dyspnea - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Laryngeal Diseases - diagnosis</topic><topic>Laryngeal Diseases - epidemiology</topic><topic>Laryngeal Diseases - physiopathology</topic><topic>Laryngoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>paradoxical vocal fold motion dysfunction</topic><topic>Prevalence</topic><topic>Respiratory Function Tests</topic><topic>Respiratory Sounds - etiology</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Vocal Cords - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YELKEN, Kursat</creatorcontrib><creatorcontrib>YILMAZ, Ayse</creatorcontrib><creatorcontrib>GUVEN, Mehmet</creatorcontrib><creatorcontrib>EYIBILEN, Ahmet</creatorcontrib><creatorcontrib>ALADAG, Ibrahim</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Respirology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YELKEN, Kursat</au><au>YILMAZ, Ayse</au><au>GUVEN, Mehmet</au><au>EYIBILEN, Ahmet</au><au>ALADAG, Ibrahim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paradoxical vocal fold motion dysfunction in asthma patients</atitle><jtitle>Respirology (Carlton, Vic.)</jtitle><addtitle>Respirology</addtitle><date>2009-07</date><risdate>2009</risdate><volume>14</volume><issue>5</issue><spage>729</spage><epage>733</epage><pages>729-733</pages><issn>1323-7799</issn><eissn>1440-1843</eissn><abstract>ABSTRACT
Background and objective: Paradoxical vocal fold motion dysfunction (PVFMD) is a disorder of the larynx characterized by adduction of the vocal cords during the respiratory cycle leading to symptoms of extrathoracic airway obstruction. PVFMD mimics asthma and patients with PVFMD (PVFMD+) are often diagnosed incorrectly as refractory asthma and receive unnecessary treatment. This study determined the prevalence of PVFMD in asthma patients and describedthe relationship between asthma and PVFMD.
Methods: A descriptive study of 94 asthmatic patients and 40 control subjects, all of whom were examined via laryngoscopy and had pulmonary function tests were performed.
Results: The prevalence of PVFMD was 19% (n = 18) in the asthmatic group and 5% (n = 2) in the control group (P < 0.001). No relationship was found between presence of PVFMD, asthma attacks and asthma severity (P > 0.05). Laryngopharyngeal reflux and allergy were significantly more prevalent in the PVFMD+ group than in the group without PVFMD (PVFMD−) (P < 0.05). The most common symptoms in the PVFMD+ patients were difficulty in breathing (88%), inspiratory stridor (66%) and a choking sensation (50%) and the most common symptoms in PVFMD− asthmatic patients were cough (63%), dyspnoea (55%) and wheezing (51%).
Conclusions: Asthma seems to facilitate the formation of the paradoxical dysfunction in the larynx as the prevalence of PVFMD in asthma patients is significantly higher than in patients with out asthma.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>19659651</pmid><doi>10.1111/j.1440-1843.2009.01568.x</doi><tpages>5</tpages></addata></record> |
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| source | Wiley |
| subjects | Adult Aged asthma Asthma - complications Asthma - diagnosis Asthma - physiopathology Case-Control Studies Cough - etiology Diagnosis, Differential Dyspnea - etiology Female Humans Laryngeal Diseases - diagnosis Laryngeal Diseases - epidemiology Laryngeal Diseases - physiopathology Laryngoscopy Male Middle Aged paradoxical vocal fold motion dysfunction Prevalence Respiratory Function Tests Respiratory Sounds - etiology Risk Factors Severity of Illness Index Vocal Cords - physiopathology |
| title | Paradoxical vocal fold motion dysfunction in asthma patients |
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