Vocal cord dysfunction

Autor: A. E. Stanton, C. E. Bucknall
Rok vydání: 2005
Předmět:
Zdroj: Breathe. 2:30-37
ISSN: 2073-4735
1810-6838
DOI: 10.1183/18106838.0201.30
Popis: Summary Recently, there has been increasing recognition and understanding of vocal cord dysfunction (VCD), a condition characterised by abnormal adduction of the vocal cords, most often during inspiration, leading to airway obstruction and associated symptoms. VCD is recognised as a co-existing factor or an alternative diagnosis in patients with asthma, but the true prevalence and incidence are not entirely clear. VCD may arise from interrelationships between laryngeal hyperresponsiveness and autonomic imbalance. Diagnosis can be difficult and, although challenge testing may be helpful, there is no non-invasive alternative to direct visualisation of the larynx during an attack as a current gold standard. This review aims to summarise current understanding of the epidemiology, proposed underlying pathophysiological mechanisms, diagnosis and treatment of this disorder.
Databáze: OpenAIRE