Acute Management of Paradoxical Vocal Fold Motion (Vocal Cord Dysfunction)

Denipah, Nizhoni; Dominguez, Christopher M.; Kraai, Erik; Kraai, Tania; Leos, Paul; Braude, Darren

doi:10.1016/j.annemergmed.2016.06.045

Cited by 39 publications

(34 citation statements)

References 39 publications

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“…All code employed in this paper is available online. 2 The scores of each of these models has been provided in Table III. The final column contains the weighted score of the Sensitivity, Specificity and Recall scores with the weights 40%, 20% and 40% respectively.…”

Section: Resultsmentioning

confidence: 99%

Pathological Voice Classification Using Mel-Cepstrum Vectors and Support Vector Machine

Pishgar

Karim

Majumdar

et al. 2018

2018 IEEE International Conference on Big Data (Big Data)

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Vocal disorders have affected several patients all over the world. Due to the inherent difficulty of diagnosing vocal disorders without sophisticated equipment and trained personnel, a number of patients remain undiagnosed. To alleviate the monetary cost of diagnosis, there has been a recent growth in the use of data analysis to accurately detect and diagnose individuals for a fraction of the cost. We propose a cheap, efficient and accurate model to diagnose whether a patient suffers from one of three vocal disorders on the FEMH 2018 challenge.

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Section: Resultsmentioning

confidence: 99%

Pathological Voice Classification Using Mel-Cepstrum Vectors and Support Vector Machine

Pishgar

Karim

Majumdar

et al. 2018

2018 IEEE International Conference on Big Data (Big Data)

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“…In the study of TRAISTER et al [156], 42.4% of patients with VCD were misdiagnosed as asthma for an average 9 years. When the VCD is not recognised, patients frequently return to the emergency department, leading to delays in diagnosis and potentially unnecessary intensive care unit admissions, intubations and tracheostomies [157]. The time from symptom onset to diagnosis of VCD is >4 years [158].…”

Section: Vcd and Asthmamentioning

confidence: 99%

“…The gold standard for diagnosing VCD is the demonstration by laryngoscopy of paradoxical vocal cord movement caused by the adduction of the anterior two-thirds of the vocal cords during attack [46,145]. Usually, the laryngeal examination is normal outside attacks, and asking the patient to do a variety of manoeuvres or performing provocation studies may help to identify VCD [46,145,157].…”

Section: Vcd and Asthmamentioning

confidence: 99%

“…Spirometry appears to have a low predictive value for detecting VCD, but a truncated inspiratory loop may be helpful for the diagnosis in the presence of symptoms [46,147,157,160]. If the spirometry is normal, a methacholine challenge test is needed to diagnose asthma.…”

Section: Vcd and Asthmamentioning

confidence: 99%

“…The treatment of VCD includes nonpharmacological and pharmacological therapies [103]. Laryngeal control therapy with a speech pathologist is the cornerstone of VCD treatment [146,155,157]. A recent study [167] showed that diagnosis and treatment of VCD led to a decline in asthma medication use (79% of patients) and to an improvement of reported symptoms (82% of patients).…”

Section: Vcd and Asthmamentioning

confidence: 99%

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Current opinions for the management of asthma associated with ear, nose and throat comorbidities

Tiotiu

Plavec

Novakova³

et al. 2018

Eur Respir Rev

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Ear, nose and throat (ENT) comorbidities are common in patients with asthma and are frequently associated with poorer asthma outcomes. All these comorbidities are “treatable traits” in asthma. Identification and management of these disorders may spare medication usage and contribute to improved asthma control and quality of life, and a decrease in exacerbation rates.This review summarises recent data about the prevalence, clinical impact and treatment effects of ENT comorbidities in asthma including allergic rhinitis, chronic rhinosinusitis with and without nasal polyposis, aspirin-exacerbated respiratory disease, obstructive sleep apnoea and vocal cord dysfunction.Many of these comorbidities are possible to be managed by the pulmonologist, but the collaboration with the ENT specialist is essential for patients with chronic rhinosinusitis or vocal cord dysfunction. Further rigorous research is needed to study the efficacy of comorbidity treatment to improve asthma outcomes, in particular with the development of biotherapies in severe asthma that can also be beneficial in some ENT diseases.

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Anxiety, Depression, and Posttraumatic Stress Disorder in Patients With Induced Laryngeal Obstruction

Fujiki,

Thibeault

2024

JAMA Otolaryngol Head Neck Surg

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ImportancePatients with induced laryngeal obstruction (ILO) present with a variety of behavioral health profiles. Identifying these profiles is crucial in that behavioral health conditions may affect treatment duration and outcomes.ObjectiveTo characterize the prevalence of anxiety, depression, posttraumatic stress disorder (PTSD), and physical somatic symptoms in adult and pediatric patients with ILO and determine the factors associated with anxiety, depression, PTSD, and physical somatic symptoms in patients with ILO?Design, Setting, and ParticipantsThis cross-sectional study included a nonprobability sample of 83 adult and 81 pediatric patients diagnosed with ILO at outpatient adult and pediatric otolaryngology clinics between 2021 and 2023. Exclusion criteria included a comorbid respiratory diagnosis other than asthma, head or neck cancer, or neurological impairments. Recruitment took place between September 2021 and March 2023. The analyses were run in January 2024.Main Outcome MeasuresPatients were prospectively screened for anxiety, depression, PTSD, and somatic physical symptoms. In addition, any past behavioral health diagnoses were extracted from the medical record. Comorbidities, ILO symptoms triggers, and onset details were gathered from ILO evaluations. Adult patients completed the Screen for Adult Anxiety Related Disorders (SCAARED), depression (Patient Health Questionnaire [PHQ]-9), and somatic physical symptoms portions of the Patient Health Questionnaires (PHQ-15), and the PTSD Checklist for the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (PCL-5). Pediatric patients completed the Screen for Child Anxiety Related Disorders (SCARED), depression (PHQ-9A) and somatic physical symptoms portions of the Patient Health Questionnaires for Adolescents (PHQ-15A), and the UCLA PTSD Reaction Index brief screeners.ResultsEighty-three adult patients participated in this study (mean [SD] age, 45.8 [14.3] years; 64 female, 19 male). Eighty-one pediatric patients participated (mean [SD] age, 13.83 [2.55] years; 67 female, 14 male). Adult and pediatric patients with ILO screened positive for elevated rates of anxiety (53 adults [63%]; 49 children [60%]), depression (27 adults [32%]; 25 children [30%]), and PTSD (29 adults [34%]; 13 children [16%]). Most of the patients with anxiety and depression symptoms were formally diagnosed prior to ILO evaluation, with rates of previously diagnosed anxiety, depression, and PTSD also above published norms. Adults were twice as likely as children to present with PTSD (odds ratio, 2.1; 95% CI, 0.05-4.48). Elevated rates of physical somatic symptoms were also evident, with 38 adults (45%) and 32 children (39%) scoring in the moderate to severe range.Conclusions and RelevanceThis study found high rates of adult and pediatric patients with ILO screened positive for anxiety, depression, and PTSD symptoms. Future work should investigate how behavioral health and ILO treatments can best be coordinated to maximize treatment outcomes.

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Acute Management of Paradoxical Vocal Fold Motion (Vocal Cord Dysfunction)

Cited by 39 publications

References 39 publications

Pathological Voice Classification Using Mel-Cepstrum Vectors and Support Vector Machine

Pathological Voice Classification Using Mel-Cepstrum Vectors and Support Vector Machine

Current opinions for the management of asthma associated with ear, nose and throat comorbidities

Anxiety, Depression, and Posttraumatic Stress Disorder in Patients With Induced Laryngeal Obstruction

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