Progressive Vocal Cord Dysfunction Subsequent to a Chlorine Gas Exposure

Allan, Patrick F.; Abouchahine, Sahar; Harvis, Lee; Morris, Michael J.

doi:10.1016/j.jvoice.2005.04.003

Cited by 18 publications

(8 citation statements)

References 7 publications

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“…Several reports include olfactory challenge to induce VCD, such as chlorine exposures and perfume odors. [51][52][53] Injury or infl ammation of upper airway tissue has not been demonstrated. Selner et al 54 noted the importance of provocation challenges in three patients and used sensory triggers to elicit and treat VCD symptoms.…”

Section: Psychogenic Vcdmentioning

confidence: 99%

Diagnostic Criteria for the Classification of Vocal Cord Dysfunction

Morris

Christopher

2010

Chest

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195

137

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Section: Psychogenic Vcdmentioning

confidence: 99%

Diagnostic Criteria for the Classification of Vocal Cord Dysfunction

Morris

Christopher

2010

Chest

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195

137

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“…On the one hand, similar laryngoscopic findings and/or symptomatology (e.g. onset/termination of attacks post-exposure, inducers of attacks, causation and patient demographics) have been described with different terms [4,7,14,17,22,28,29,37,[44][45][46], while on the other hand the same nomenclature has been used to describe differing clinical features [47][48][49][50][51][52]. This lack of an international consensus on nomenclature prevents research and expertise from different centres from being matched, pooled or readily utilised by others and effectively hampers progress in the area.…”

Section: Introductionmentioning

confidence: 99%

ERS/ELS/ACCP 2013 international consensus conference nomenclature on inducible laryngeal obstructions

et al. 2015

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Individuals reporting episodes of breathing problems caused by re-occurring variable airflow obstructions in the larynx have been described in an increasing number of publications, with more than 40 different terms being used without consensus on definitions. This lack of an international consensus on nomenclature is a serious obstacle for the development of the area, as knowledge from different centres cannot be matched, pooled or readily utilised by others. Thus, an international Task Force has been created, led by the European Respiratory Society/European Laryngological Society/American College of Chest Physicians. This review describes the methods used to reach an international consensus on the subject and the resulting nomenclature, the 2013 international consensus conference nomenclature.

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“…Chlorine gas is rarely utilized for disinfecting swimming pools but chlorine gas by itself can lead to VCD [83][84][85][86]. Allan et al reported on a firefighter exposed to a claimed railroad spill of 15,00 gallons of chlorine gas who developed progressive VCD [87].…”

Section: Discussionmentioning

confidence: 99%

Vocal Cord Dysfunction after an Inhalation Exposure

Brooks¹

2017

J Allergy Ther

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The manuscript embodies case material and the author's extensive personal experience to address a perceived or actual airborne exposure when incorrectly judged as due to intrathoracic/lung damage when in reality the outcome is the more innocuous extrathoracic/upper airway's vocal cord dysfunction (VCD). Because of the conviction of possible lung injury, the individual applies the fetal protective glottic closure reflex to counteract an odorant cue instigating acute VCD. Breathing against an obstructed glottis as well as hyperventilation from anxiety, panic and/or fear of personal harm worsens the laryngeal spasm. Spirometer shows flattening of the inspiratory loop of the flow-volume curve and endoscopy, while not done, would reveal adduction of the anterior two-thirds of the vocal cords with posterior chinking creating a diamond shape configuration. Successful therapy and management of VCD requires a speech therapy approach rather than physician prescribed medications.

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Progressive Vocal Cord Dysfunction Subsequent to a Chlorine Gas Exposure

Cited by 18 publications

References 7 publications

Diagnostic Criteria for the Classification of Vocal Cord Dysfunction

Diagnostic Criteria for the Classification of Vocal Cord Dysfunction

ERS/ELS/ACCP 2013 international consensus conference nomenclature on inducible laryngeal obstructions

Vocal Cord Dysfunction after an Inhalation Exposure

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