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ORIGINAL ARTICLE
Year : 2015  |  Volume : 17  |  Issue : 2  |  Page : 63-69

Vocal cord dysfunction evaluation and outcome of conservative treatment


1 (On leave) Lecturer of phoniatrics, Department of Otorhinolaryngology, Sohag University, Egypt; Consultant Of Phoniatrics, King Fahd Hospital, Jeddah, KSA
2 Lecturer of phoniatrics, Department of Otorhinolaryngology, El Minia University, Egypt

Correspondence Address:
MD (Phoniatrics) Hatem Ezzeldin Hassen
Department of Otorhinolaryngology, King Fahd Hospital P.O. Box: 8488 Jeddah 21196
KSA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-8491.274660

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Objective: This article reports evaluation of 30 patients with Vocal Cord Dysfunction (VCD) and the outcome of conservative management program including voice therapy and breathing exercises. Study design: A prospective observational follow up study. Methods: Thirty consecutive referrals of refractory asthma patients and patients presented by laryngeal symptoms diagnosed as having VCD were assessed, treated and followed for at least 6 months after treatments. Results: 53% of patients had adduction of vocal folds during inspiration, 50% had posterior glottis congestion and 95% had constriction of supraglottic area during inspiration. There was highly significant differences in the scores of both self-reported questionnaire and laryngeal parameters before and after therapy with lowering the scores after voice therapy Conclusion: There are signs during laryngeal examination which could be used for diagnosis of VCD in between attacks and we can conclude that voice therapy with psychological counseling and anti-reflux treatments are effective in controlling the manifestations of VCD.


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