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Updated: May 19, 2026

Investigating the Three-dimensional Flow Separation Induced by a Model Vocal Fold Polyp
Published on: February 3, 2014
[Spirometry patterns in vocal cord dysfunction]
V Sanz Santiago1, A López Neyra, E Almería Gil
1Sección de Neumología, Hospital Infantil Niño Jesús, Madrid, España. veross81@yahoo.es
Vocal cord dysfunction (VCD) often shows inspiratory plateau on spirometry, but expiratory plateaus are also common. This finding challenges the typical diagnostic ratio used for VCD.
Area of Science:
- Pulmonology
- Laryngology
Context:
- Vocal cord dysfunction (VCD) is a rare condition causing breathing difficulties due to paradoxical vocal cord closure.
- Traditional spirometry interpretation for VCD focuses on inspiratory patterns.
Purpose:
- To determine common spirometry characteristics in VCD patients.
- To describe clinical, demographic, and treatment aspects of diagnosed VCD cases.
Summary:
- A retrospective study of 11 VCD patients confirmed that all exhibited inspiratory plateaus on spirometry.
- A significant majority (81%) also showed expiratory plateaus, impacting the utility of the MEF50%/MIF50% ratio.
Impact:
- Findings suggest that spirometry in VCD is not limited to inspiratory changes.
- The frequent presence of expiratory plateaus may necessitate revising diagnostic criteria for VCD.
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