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Related Experiment Videos

Functional upper airway obstruction in adolescents.

D Ophir1, Y Katz, I Tavori

  • 1Department of Otolaryngology, Kaplan Hospital, Rehovot, Israel.

Archives of Otolaryngology--Head & Neck Surgery
|October 1, 1990
PubMed
Summary

Functional upper airway obstruction, a rare conversion disorder, causes vocal cord adduction during inspiration. Early diagnosis and psychiatric intervention are crucial for adolescents experiencing these nonorganic stridor attacks.

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Area of Science:

  • Psychiatry
  • Otolaryngology
  • Pediatrics

Background:

  • Functional upper airway obstruction is an uncommon manifestation of conversion disorder.
  • It is characterized by recurrent inspiratory stridor due to vocal cord adduction.

Observation:

  • Patients exhibit normal oxygen saturation and lack significant anxiety or other symptoms.
  • Stridor attacks are often unresponsive to conventional therapies but may improve with reassurance and speech therapy.

Findings:

  • Three adolescent cases of nonorganic upper airway obstruction are presented.
  • Key diagnostic features facilitating early identification of this condition are described.

Implications:

  • Early diagnosis and intervention can prevent unnecessary and potentially harmful investigations and treatments.

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  • Psychiatric consultation is often necessary for effective management of recurrent stridor attacks.