View source for Paradoxical vocal fold motion

==Background<ref>Denipah N, Dominguez CM, Kraai EP, Kraai TL, Leos P, Braude D. Acute Management of Paradoxical Vocal Fold Motion (Vocal Cord Dysfunction). Annals of Emergency Medicine. 2017;69(1):p18-23.</ref>==
*Also known as "vocal cord dysfunction"
*Occurs from abnormal adduction of the vocal cords during inspiration
*Lack of familiarity may lead to delayed diagnosis and unnecessary [[intubation]] or [[surgical airway]] procedures

==Clinical Features==
*[[Stridor]]

==Differential Diagnosis==
{{Template:Stridor DDx}}

==Evaluation==
===Workup===

===Diagnosis===
*Gold standard is [[laryngoscopy]] (ideally with flexible fiberoptics)

==Management==
*Reassurance and breathing techniques to resolve stridor:
**Jaw thrust while breathing
**Pursed lip breathing through straw or endotracheal tube
**Inhale through nose for 3 seconds and exhale through pursed lips for 3 seconds
**"Pant like a dog" - rhythmic breathing with mouth open and tongue protruding forward
**3 sniffs - take 2 quick then 1 slow inhalational sniffs through the nose, exhale slowly through mouth
*Mild sedatives (eg [[benzodiazepines]]) may be effective in cases refractory to breathing techniques<ref>Goldman J, Muers M. Vocal cord dysfunction and wheezing. Thorax. 1991;46(6):401-404. doi:10.1136/thx.46.6.401</ref>

==Disposition==
*

==See Also==


==External Links==


==References==
<references/>

[[Category:ENT]]