KBB-Forum 2005 , Cilt 4, Sayı 1

PARADOXICAL VOCAL CORD ADDUCTION: A CASE REPORT

Dr. Müzeyyen DOĞAN1, Dr. Emel ERYÜKSEL2, Dr. Sait KARAKURT2, Dr. Berrin CEYHAN2
1Marmara Üniversitesi Tıp Fakültesi Hastanesi, KBB Anabilim Dalı, İstanbul, Türkiye
2Marmara Üniversitesi Tıp Fakültesi Hastanesi, Göğüs Hastalıkları Anabilim Dalı, İstanbul, Türkiye
Paradoxical vocal cord adduction is a rare larengeal dysfunction that may cause respiratory symptoms similar to asthma. Patients with severe forms of paradoxical vocal cord movement present with acute dyspnea that may lead to endotracheal intubation and tracheostomy. In this article we report an 63 years old woman with paradoxical vocal cord adduction who presented with wheezing and stridor. She had been treated for bronchial asthma without any improvement. We found the paradoxical vocal cord movement was induced by larengopharyngeal reflux. After the larengopharyngeal reflux treatment during 6 months, respiratory symptoms were dissolved. This case is discussed with treatment and diagnostic approaches by means of literature. Keywords : asthma, stridor, paradoxical vocal cord adduction, laryngopharyngeal reflux