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Published on: February 3, 2014
Paradoxical vocal cord motion disorder: past, present and future
Wanis H Ibrahim1, Heitham A Gheriani, Ahmed A Almohamed
1Pulmonary Section, Department of Medicine, Hamad General Hospital, PO Box 3050, Doha, Qatar. wanisian@yahoo.com
Postgraduate Medical Journal
|March 9, 2007
Summary
Paradoxical vocal cord motion disorder (PVCM) is often misdiagnosed as asthma. Early diagnosis via laryngoscopy and management with speech therapy can prevent unnecessary treatments and medical interventions.
Area of Science:
- Medical diagnosis
- Respiratory medicine
- Otolaryngology
Background:
- Paradoxical vocal cord motion disorder (PVCM), or vocal cord dysfunction, is a critical differential diagnosis for asthma.
- Misdiagnosis of PVCM as asthma can lead to inappropriate treatments, increased healthcare utilization, and invasive procedures like intubation.
Purpose of the Study:
- To enhance physician awareness of PVCM.
- To differentiate PVCM from asthma based on key characteristics.
- To review current management strategies and future directions for PVCM.
Main Methods:
- Review of diagnostic criteria for PVCM.
- Comparison of clinical presentations of PVCM and asthma.
- Discussion of established and emerging treatment modalities for PVCM.
Main Results:
- Laryngoscopy is the definitive diagnostic tool for PVCM.
- Speech therapy and psychotherapy are primary management strategies.
- Accurate diagnosis avoids unnecessary asthma medications and interventions.
Conclusions:
- Increased awareness and accurate diagnosis of PVCM are crucial.
- Effective management involves specialized therapies, not asthma medications.
- Further research can refine diagnostic and therapeutic approaches for PVCM.
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