Page 20 - Škrgat, Sabina, ed. 2023. Severe Asthma Forum - Monitoring and Treatable Traits in Severe Asthma. Koper: University of Primorska Press. Severe Asthma Forum, 2
P. 20
Conclusions 7. Christopher KL, Wood RP, Eckert
C, et al. Vocal cord dysfunction pre-
severe asthma forum 2: severe asthma - monitoring and treatable traits in severe asthma VCD is an important differential diagnosis of senting as asthma. N Eng J Med. 1983
asthma, that is widely unrecognized. If mis- Jun;308(26):1566-70.
diagnosed as asthma, VCD can lead to high
medical utilization, unnecessary high-dose 8. Denipah N, Dominguez CM, Kraai
steroid use, and other dangerous consequenc- EP, et al. Acute Management of Para-
es. We should suspect VCD in patients with doxical Vocal Fold Motion (Vocal Cord
asthma-like symptoms that do not respond Dysfunction). Ann Emerg Med. 2017
to conventional asthma therapy or are in- Jan;69(1):18-23.
duced by stress and exercise. The gold stand-
ard test for VCD is direct visualization of the 9. Dunn NM, Katial RK, Hoyte FCL.
vocal cords by laryngoscopy. The cornerstone Vocal cord dysfunction: a review. Asth-
of VCD treatment is speech therapy. VCD ma Res Pract. 2015 Sep 22:1:9. doi:
should be included in the differential diagno- 10.1186/s40733-015-0009-z.
sis for patients reporting episodic dyspnea or
respiratory distress. Patients with asthma may 10. Famokunwa B, Sandhu G, Hull JH.
also have comorbidities such as VCD. Identi- Surgical intervention for exercise-in-
fying and treating VCD should be included in duced laryngeal obstruction: A UK
the management of patients with asthma. perspective. Laryngoscope. 2020
Nov;130(11):E667-E673.
References
11. Fowler SJ, Thurston A, Chesworth B,,
1. Altman KW, Simpson CB, Amin MR, et al. The VCDQ--a Questionnaire
et al. Cough and paradoxical vocal fold for symptom monitoring in vocal cord
motion. Otolaryngol Head Neck Surg. dysfunction. Clin Exp Allergy. 2015
2002 Dec;127(6):501-11. Sep;45(9):1406-11.
2. Anbar RD. Hypnosis in pediatrics: ap- 12. Guglani L, Atkinson S, Hosanagar A,
plication at a pediatric pulmonary cen- et al. A systematic review of psycholog-
ter. BMC Pediatr. 2002 Dec 3;2:11. doi: ical interventions for adult and pediat-
10.1186/1471-2431-2-11 ric patients with vocal cord dysfunction.
Front Pediatr. 2014 Aug 8;2:82. doi:
3. Anbar RD, Hehir DA. Hypnosis as a di- 10.3389/fped.2014.00082.
agnostic modality for vocal fold dys-
function. Pediatrics. 2001 Dec;106(6): 13. Hatzelis V, Murry T. Paradoxical vo-
E81. doi: 10.1542/peds.106.6.e81. cal fold motion: respiratory retraining
to manage long-term symptoms. J Soc
4. Archer GJ, Hoyle JL, McCluskey A, et Bras Fonoaudiol. 2012;24(1):80-5.
al. Inspiratory vocal cord dysfunction, a
new approach in treatment. Eur Respir 14. Hicks M, Brugman SM, Katial R. Vo-
J. 2000 Mar;15(3):617-8. cal cord dysfunction/paradoxical vo-
cal fold motion. Prim Care. 2008
5. Balkissoon R. Occupational upper air- Mar;35(1):81-103.
way disease. Clin Chest Med. 2002
Dec;23(4):717-25. 15. Hočevar Boltežar I. The Characteris-
tics of Upper Respiratory Tract in the
6. Christopher KL, Morris MJ. Vocal cord Patients with Asthma and the Patients
dysfunction, paradoxic vocal fold mo- with Episodic Laryngeal Obstruction.
tion, or laryngomalacia? Our under- In: Škrgat S, editor. Severe asthma - ba-
standing requires an interdisciplinary sic and clinical views. Koper, Slove-
approach. Otolaryngol Clin North Am. nia: Založba Univerze na Primorskem,
2010 Feb;43(1):43-66. 2022. p. 67-74.
16. Hull JH, Godbout K, Boulet LP. Ex-
ercise-Associated Dyspnea and Stri-
C, et al. Vocal cord dysfunction pre-
severe asthma forum 2: severe asthma - monitoring and treatable traits in severe asthma VCD is an important differential diagnosis of senting as asthma. N Eng J Med. 1983
asthma, that is widely unrecognized. If mis- Jun;308(26):1566-70.
diagnosed as asthma, VCD can lead to high
medical utilization, unnecessary high-dose 8. Denipah N, Dominguez CM, Kraai
steroid use, and other dangerous consequenc- EP, et al. Acute Management of Para-
es. We should suspect VCD in patients with doxical Vocal Fold Motion (Vocal Cord
asthma-like symptoms that do not respond Dysfunction). Ann Emerg Med. 2017
to conventional asthma therapy or are in- Jan;69(1):18-23.
duced by stress and exercise. The gold stand-
ard test for VCD is direct visualization of the 9. Dunn NM, Katial RK, Hoyte FCL.
vocal cords by laryngoscopy. The cornerstone Vocal cord dysfunction: a review. Asth-
of VCD treatment is speech therapy. VCD ma Res Pract. 2015 Sep 22:1:9. doi:
should be included in the differential diagno- 10.1186/s40733-015-0009-z.
sis for patients reporting episodic dyspnea or
respiratory distress. Patients with asthma may 10. Famokunwa B, Sandhu G, Hull JH.
also have comorbidities such as VCD. Identi- Surgical intervention for exercise-in-
fying and treating VCD should be included in duced laryngeal obstruction: A UK
the management of patients with asthma. perspective. Laryngoscope. 2020
Nov;130(11):E667-E673.
References
11. Fowler SJ, Thurston A, Chesworth B,,
1. Altman KW, Simpson CB, Amin MR, et al. The VCDQ--a Questionnaire
et al. Cough and paradoxical vocal fold for symptom monitoring in vocal cord
motion. Otolaryngol Head Neck Surg. dysfunction. Clin Exp Allergy. 2015
2002 Dec;127(6):501-11. Sep;45(9):1406-11.
2. Anbar RD. Hypnosis in pediatrics: ap- 12. Guglani L, Atkinson S, Hosanagar A,
plication at a pediatric pulmonary cen- et al. A systematic review of psycholog-
ter. BMC Pediatr. 2002 Dec 3;2:11. doi: ical interventions for adult and pediat-
10.1186/1471-2431-2-11 ric patients with vocal cord dysfunction.
Front Pediatr. 2014 Aug 8;2:82. doi:
3. Anbar RD, Hehir DA. Hypnosis as a di- 10.3389/fped.2014.00082.
agnostic modality for vocal fold dys-
function. Pediatrics. 2001 Dec;106(6): 13. Hatzelis V, Murry T. Paradoxical vo-
E81. doi: 10.1542/peds.106.6.e81. cal fold motion: respiratory retraining
to manage long-term symptoms. J Soc
4. Archer GJ, Hoyle JL, McCluskey A, et Bras Fonoaudiol. 2012;24(1):80-5.
al. Inspiratory vocal cord dysfunction, a
new approach in treatment. Eur Respir 14. Hicks M, Brugman SM, Katial R. Vo-
J. 2000 Mar;15(3):617-8. cal cord dysfunction/paradoxical vo-
cal fold motion. Prim Care. 2008
5. Balkissoon R. Occupational upper air- Mar;35(1):81-103.
way disease. Clin Chest Med. 2002
Dec;23(4):717-25. 15. Hočevar Boltežar I. The Characteris-
tics of Upper Respiratory Tract in the
6. Christopher KL, Morris MJ. Vocal cord Patients with Asthma and the Patients
dysfunction, paradoxic vocal fold mo- with Episodic Laryngeal Obstruction.
tion, or laryngomalacia? Our under- In: Škrgat S, editor. Severe asthma - ba-
standing requires an interdisciplinary sic and clinical views. Koper, Slove-
approach. Otolaryngol Clin North Am. nia: Založba Univerze na Primorskem,
2010 Feb;43(1):43-66. 2022. p. 67-74.
16. Hull JH, Godbout K, Boulet LP. Ex-
ercise-Associated Dyspnea and Stri-
