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Related Experiment Videos

Vocal cord dysfunction treated with long-term tracheostomy: 2 case studies.

Daniel P Park1, Jonathon G Ayres, Dwight T McLeod

  • 1Department of Respiratory Medicine, Birmingham Heartlands Hospital, Birmingham, England.

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|July 3, 2007
PubMed
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Long-term tracheostomy offered subjective relief for two patients with vocal cord dysfunction (VCD). While one patient showed objective improvement, tracheostomy remains a final option due to its invasive nature and risks.

Area of Science:

  • Otolaryngology
  • Respiratory Medicine
  • Surgical Airway Management

Background:

  • Vocal cord dysfunction (VCD) presents as an upper airway condition, often challenging to differentiate from asthma.
  • Standard treatments for VCD include speech and psychological cognitive therapies.
  • Alternative modalities are explored for refractory VCD cases.

Observation:

  • Two case studies detail the use of long-term tracheostomy for managing VCD.
  • Diagnostic nasoendoscopy confirmed paradoxical vocal cord movement in one patient and immobile, adducted cords in another.
  • Emergency tracheostomy was performed in one case, while the other had VCD suggested during hospitalization.

Findings:

  • Both patients experienced significant subjective improvements following tracheostomy.

Related Experiment Videos

  • Objective evidence of improvement was noted in only one of the two patients.
  • Tracheostomy, though invasive, provided considerable subjective benefits in these VCD cases.

    • Implications:

    • Long-term tracheostomy may offer subjective benefits for select VCD patients unresponsive to other treatments.
    • The procedure carries inherent risks and potential morbidity.
    • Tracheostomy should be reserved as a last resort for carefully selected vocal cord dysfunction cases.