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Paradoxical vocal fold movement: a case report

R V Lloyd¹, N S Jones

¹Department of Otorhinolaryngology, University Hospital, Queen's Medical Centre, Nottingham, UK.

The Journal of Laryngology and Otology

|November 1, 1995

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Paradoxical vocal fold movement (PVFM) causes inspiratory stridor due to vocal fold adduction. This case highlights diagnostic and management challenges, exploring treatments like tracheostomy and laser arytenoidectomy.

Area of Science:

Otolaryngology
Respiratory Medicine
Speech-Language Pathology

Background:

Paradoxical vocal fold movement (PVFM) is a condition characterized by the abnormal adduction of the vocal folds during inspiration.
This leads to significant upper airway obstruction, presenting as inspiratory stridor and dyspnea.

Observation:

This case report details a patient experiencing difficulties in diagnosing and managing PVFM.
The patient presented with severe inspiratory stridor, a hallmark symptom of vocal fold dysfunction.

Findings:

Diagnostic challenges in PVFM can delay appropriate treatment.
A trial of various interventions, including tracheostomy, laser arytenoidectomy, and vocal fold lateralization, was undertaken.

Implications:

Related Experiment Videos

Effective management of PVFM requires a multidisciplinary approach.
Surgical interventions like laser arytenoidectomy and vocal fold lateralization may be considered for refractory cases.