E-ISSN 2602-4837
Relations between symptoms, durations and triggers of attacks and concurrent diseases in paradoxical vocal fold movement disorder [Tr-ENT]
Tr-ENT. 2009; 19(1): 16-21

Relations between symptoms, durations and triggers of attacks and concurrent diseases in paradoxical vocal fold movement disorder

Kürşat Yelken1, Mehmet Güven, İbrahim Aladağ, Ahmet Eyibilen

Objectives: To discover the relation between initial symptoms,
triggers and durations of attacks of paradoxical
vocal fold movement disorder (PVFMD) and concurrent
laryngeal and respiratory diseases.
Patients and Methods: Twenty one PVFMD patients
(17 females, 4 males; mean age 50 year; range 31 to 72
years) were included in the study. Diagnosis of PVFMD
was established when inpiratory and/or expiratory vocal
cord adduction was seen during laryngostroboscopy.
Results: Laryngeal and respiratory diseases accompanying
PVFMD were laryngopharyngeal reflux (n=15; 71%),
asthma (n=11; 52%), allergic rhinitis (n=6; 28%), chronic
sinusitis (n=1; 4%), right vocal cord paresis (n=1; 4%)
and chronic obstructive pulmonary disease (n=2; 9%),
(p=0.346). The most common symptoms were inspiratory
stridor (n=16; 76%), dyspnea (n=13; 60%) and cough
(n=9; 42%), (p=0.346). There was no significant relation
between concurrent diseases and the frequencies
of symptoms (0.091). Triggers for attacks were found to
be air pollutants including dust, smoke and temperature
variations (n=8; 38%), exercise (n=7; 33%), perfumes and
detergents (n=6; 28%), animal fur and pollen (n=4; 19%),
phonation and loud speaking (n=3; 14%) and emotional
stress-anxiety (n=1; 4%), (p=0.308). Durations of attacks
were several minutes in 14 patients (66%), several seconds
in five patients (23%) and more than one hour in two
patients (9%), (p=0.338).
Conclusion: Durations and triggers of attacks and initial
symptoms in paradoxical vocal fold movement disorder
seems not to be related with concurrent laryngeal and
respiratory diseases.

Keywords: Allergic rhinitis; asthma; laryngopharyngeal reflux;laryngostroboscopy; paradoxical vocal fold movement disorder.

Paradoksal vokal kord hareketi hastalığı; semptomlar, atak süreleri ve atak tetikleyicileri ile eşlik eden hastalıklar arasındaki ilişki

Kürşat Yelken1, Mehmet Güven, İbrahim Aladağ, Ahmet Eyibilen

FREE FULL TEXT

Anahtar Kelimeler: Alerjik rinit; astım; larengofarengeal reflü;larengostroboskopi; paradoksal vokal kord hareketi hastalığı

Kürşat Yelken, Mehmet Güven, İbrahim Aladağ, Ahmet Eyibilen. Relations between symptoms, durations and triggers of attacks and concurrent diseases in paradoxical vocal fold movement disorder. Tr-ENT. 2009; 19(1): 16-21

Corresponding Author: Kürşat Yelken
LookUs & Online Makale