Exercise-induced laryngochalasia: an imitator of exercise-induced bronchospasm

Autor: Björn Magnússon, Sigurdur Juliusson, Kjell Brøndbo, Unnur S. Bjornsdottir, Kristjan Gudmundsson, Hannes Hjartarson
Rok vydání: 2000
Předmět:
Zdroj: Annals of allergy, asthmaimmunology : official publication of the American College of Allergy, Asthma,Immunology. 85(5)
ISSN: 1081-1206
Popis: Background Patients with exercise-induced laryngochalasia present with dyspnea and stridor during exercise. Symptoms are due to a subtotal occlusion of the larynx resulting from mucosal edema from the aryepiglottic folds being drawn into the endolarynx. Methods We report on three patients with exercise-induced bronchospasm, refractory to standard therapy. Results Spirometry with flow-volume loops revealed truncation of the inspiratory limb. Abnormal movement of the arytenoid region was visualized on laryngoscopy. A diagnosis of exercise-induced laryngochalasia was made. Conclusions Evaluation of laryngeal motion in patients with refractory exercise-induced bronchospasm is important. Surgical correction with laser laryngoplasty is effective in carefully selected cases.
Databáze: OpenAIRE