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Updated: Aug 9, 2025

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Vocal Cord Dysfunction During the COVID-19 Pandemic.

Shashikanth R Ambati1, Robert Kaslovsky2, Mary T Evans2

  • 1Division of Pediatric Critical Care Medicine, Department of Pediatrics, Albany Medical College, Albany, New York. ambatis@amc.edu.

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PubMed
Summary

The incidence of vocal cord dysfunction nearly doubled during the COVID-19 pandemic, increasing from 5.2% in 2019 to 10.3% in 2020. This rise highlights the pandemic

Keywords:
COVID-19adolescentspandemicpediatricsupper-airway obstructionvocal cord dysfunction

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Area of Science:

  • Pulmonology
  • Pediatrics
  • Laryngology
  • Psychosomatic Medicine

Background:

  • Vocal cord dysfunction (VCD) is an upper-airway disorder causing inspiratory stridor, wheezing, cough, and throat tightness, often linked to stress and anxiety.
  • Adolescent females are commonly affected by VCD.
  • The COVID-19 pandemic exacerbated anxiety and psychosomatic illnesses, prompting an investigation into its impact on VCD incidence.

Purpose of the Study:

  • To determine if the incidence of vocal cord dysfunction (VCD) increased during the COVID-19 pandemic.
  • To assess the change in VCD diagnosis rates between 2019 and 2020.

Main Methods:

  • A retrospective chart review was conducted.
  • Data included all new diagnoses of vocal cord dysfunction at a pediatric outpatient pulmonary practice.
  • The study period spanned from January 2019 to December 2020.

Main Results:

  • The incidence of VCD in 2019 was 5.2% (41 out of 786 subjects).
  • In 2020, the incidence rose to 10.3% (47 out of 457 subjects).
  • This represents a statistically significant nearly 100% increase in VCD incidence during the pandemic (P < .001).

Conclusions:

  • Vocal cord dysfunction incidence significantly increased during the COVID-19 pandemic.
  • Healthcare providers, especially those in pediatrics and respiratory therapy, must be aware of this trend.
  • Emphasize behavioral and speech therapy over unnecessary medical interventions like intubation or corticosteroids for VCD management.