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Brief Report
Clinical Focus
November 2008

Differential Diagnosis of Paradoxical Vocal Fold Movement

Publication: American Journal of Speech-Language Pathology
Volume 17, Number 4
Pages 327-334

Abstract

Purpose

To present the differential diagnosis of paradoxical vocal fold movement (PVFM) and its distinguishing features.

Methods

The authors provide an overview of PVFM by drawing from 30 years of clinical and research experience, and relating that experience to literature in this area.

Conclusion

PVFM is characterized by inappropriate adduction of the vocal folds during inspiration. PVFM is an uncommon and sometimes confusing cause of airway obstruction. The resultant obstruction may be intermittent or continuous, mild or severe. Most patients with PVFM have a specific etiology—inflammatory, neurological, neoplastic, iatrogenic, or psychological—that influences type of treatment and outcome.

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Information & Authors

Information

Published In

American Journal of Speech-Language Pathology
Volume 17Number 4November 2008
Pages: 327-334

History

  • Received: Feb 27, 2007
  • Revised: Oct 30, 2007
  • Accepted: Feb 11, 2008
  • Published in issue: Nov 1, 2008

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Key Words

  1. stridor
  2. paradoxical vocal fold movement
  3. paradoxical vocal cord movement
  4. vocal cord dysfunction

Authors

Affiliations

Jamie A. Koufman [email protected]
Voice Institute of New York and New York Medical College
Christie Block
Private Practice, New York, and New York University

Notes

Contact author: Jamie A. Koufman, Voice Institute of New York, 200 West 57th Street, Suite 1203, New York, NY 10019. E-mail: [email protected].

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