Exercise-induced laryngeal obstruction: From clinical examination to continuous laryngoscopy during exercise
| Autor: | M. Destors, Ihab Atallah, L. Giraud, B. Wuyam |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Laryngoscopy Physical examination Pulmonary function testing Laryngeal Diseases 03 medical and health sciences 0302 clinical medicine medicine Humans 030223 otorhinolaryngology Pulmonologists Asthma Exercise-induced asthma medicine.diagnostic_test business.industry medicine.disease Laryngeal Obstruction Airway Obstruction Asthma Exercise-Induced Dyspnea Otorhinolaryngology 030220 oncology & carcinogenesis Anesthesia Surgery business |
| Zdroj: | European annals of otorhinolaryngology, head and neck diseases. 138(6) |
| ISSN: | 1879-730X |
| Popis: | The diagnosis of exercise-induced laryngeal obstruction (EILO) should be suspected when exercise triggers inspiratory stridor. EILO is common in adolescent populations and has a significant impact on sports. Identification of laryngeal obstruction during continuous laryngoscopy during exercise (CLE) is the gold standard diagnostic tool for this disorder, which is not widely known in France. The challenge faced by otolaryngologists is to identify, among patients referred by pulmonologists or sports physicians, those with exercise-induced inspiratory symptoms or poorly controlled exercise-induced asthma, in whom a diagnosis of EILO is strongly suspected. Laryngoscopy at rest may reveal a laryngeal, glottic or supraglottic abnormality predictive of obstruction at increased inspiratory airflow. When pulmonary function tests are normal or in the case of failure of treatment of exercise-induced asthma, the otolaryngologist must complete the examination by a CLE test to confirm the diagnosis of EILO and identify the site of obstruction. This examination is well tolerated, minimally invasive and allows identification of the site of airflow obstruction, allowing specific conservative or surgical treatment. This technical note describes in detail clinical examination and CLE testing in patients with suspected EILO. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect