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IMPORTANT: Starting from Wednesday, May 22, 2024, all manuscripts accepted for publication in 2025 must also be published in an English version. This translation must be managed and funded by the authors, as the journal will no longer cover these costs.

The Revista Chilena de Fonoaudiología accepts manuscripts on an ongoing basis throughout the calendar year. The journal operates under a "continuous publication" model.

Paradoxical vocal fold motion: A case report

Authors

  • Marco Guzman Escuela de Fonoaudiología, Universidad de Chile
  • Cristina Jackson-Menaldi Director, Lakeshore Proffesioanl Voice Center, Lakashore Ear, Nose and Throat Center, St. Clair. Adjunt Full Professor School of Medicine, Dept. Otolaryngology, Wayne State University, Detroit, USA.
  • Adam Rubin Director, Lakeshore Professional Voice Center, Lakeshore Ear, Nose and Throat Center St. Claire. MI. Adjunct Assisstant Professor, Dept. Otolaryngology-HNS, University of Michigan Medical Center, Ann Arbor, MI. USA

Abstract

Paradoxical Vocal Fold. Motion (PVFM) is a disorder characterized by inappropriate and involuntary paradoxical vocal folds adduction and ventricular bands during inspiration. In severe cases PVFM is manifested as airway obstruction. This disorder is associated with multiple etiologies such as gastroesophageal reflux, peripheral or central neurological disorders, psychogenic disorders and asthma. In this paper, we report a case of a child who presents cough. He had been treated initially for asthma without positive results. Flexible laryngoscopy revealed severe PVFM. This case was treated with reflux medication, breathing training and Oropharyngeal relaxation. It was emphasized a multidisciplinary approach whit the laryngologist, voice pathologist and counseling. Review of the literature is discussed.

Keywords:

paradoxical movement, vocal dysfunction, asthma, airway obstruction, dysnea.