Our Summary

This research paper explores a disorder called Paradoxical Vocal Cord Motion (PVCM), a condition where the vocal cords close when they should be open, leading to difficulty in breathing. The disorder can exist alongside or be mistaken for asthma, making a correct diagnosis crucial. While PVCM has been linked with psychological issues, it’s not the cause for all patients. Other factors that could contribute include irritants in the throat and exercise. PVCM can be diagnosed through a laryngoscopic exam, but this doesn’t always show signs of the disorder. Therefore, a patient’s medical history is vital in deciding if behavioral therapy, often led by a speech pathologist, is needed. Other treatments can include avoiding potential irritants for the throat. If these treatments don’t work, a psychological assessment might be beneficial.

FAQs

  1. What is Paradoxical Vocal Cord Motion (PVCM) and how does it affect breathing?
  2. How is PVCM diagnosed and what role does a patient’s medical history play in this?
  3. What are the potential treatments for PVCM if behavioral therapy and avoiding potential irritants don’t work?

Doctor’s Tip

After vocal cord surgery, it is important to follow your doctor’s instructions for post-operative care, such as avoiding strenuous activities, resting your voice, and staying hydrated. It may also be helpful to work with a speech therapist to improve your vocal technique and prevent further strain on your vocal cords. Be sure to attend all follow-up appointments and communicate any concerns or changes in your voice to your doctor. With proper care and rehabilitation, you can make a full recovery and regain your voice strength.

Suitable For

For patients with severe cases of PVCM that do not respond to conservative treatments, vocal cord surgery may be recommended. This surgery involves repositioning or altering the function of the vocal cords to improve breathing and reduce symptoms of PVCM. Patients who are candidates for vocal cord surgery typically have persistent and severe symptoms of PVCM that significantly impact their quality of life.

In addition to PVCM, vocal cord surgery may also be recommended for patients with other vocal cord disorders such as vocal cord paralysis or nodules. Vocal cord paralysis occurs when one or both vocal cords are unable to move, leading to hoarseness, difficulty speaking, and breathing problems. Nodules are growths on the vocal cords that can cause hoarseness and voice changes.

Overall, patients who are recommended vocal cord surgery typically have significant vocal cord dysfunction that is not effectively managed with conservative treatments. The decision to undergo vocal cord surgery should be made in consultation with a multidisciplinary team of healthcare professionals, including otolaryngologists, speech pathologists, and psychologists, to ensure the best possible outcome for the patient.

Timeline

Before vocal cord surgery:

  1. Patient experiences difficulty in breathing and may be misdiagnosed with asthma.
  2. Patient undergoes a laryngoscopic exam to diagnose PVCM.
  3. Patient’s medical history is reviewed to determine the best course of treatment, which may include behavioral therapy and avoiding irritants for the throat.
  4. If initial treatments are unsuccessful, a psychological assessment may be recommended.

After vocal cord surgery:

  1. Patient undergoes vocal cord surgery to correct the dysfunction in the vocal cords.
  2. Patient may experience temporary hoarseness and throat pain post-surgery.
  3. Patient follows a recovery plan that includes voice therapy to help restore vocal function.
  4. Patient undergoes follow-up appointments to monitor progress and ensure proper healing.
  5. Patient may experience improved breathing and voice quality after surgery.

What to Ask Your Doctor

  1. What is the success rate of vocal cord surgery for treating PVCM?
  2. What are the potential risks and complications associated with vocal cord surgery?
  3. How long is the recovery process after vocal cord surgery?
  4. Will I need speech therapy after vocal cord surgery?
  5. Are there any alternative treatments for PVCM that I should consider before opting for surgery?
  6. How many times have you performed vocal cord surgery for PVCM in the past?
  7. What is the expected outcome after vocal cord surgery in terms of improved breathing and vocal function?
  8. Will I need to make any lifestyle changes or adjustments after vocal cord surgery?
  9. What type of anesthesia will be used during the surgery?
  10. How soon after surgery can I expect to see improvement in my symptoms of PVCM?

Reference

Authors: Palla J, Friedman AD. Journal: Pediatr Ann. 2016 May 1;45(5):e184-8. doi: 10.3928/00904481-20160331-01. PMID: 27171808