Skip to main content

Vocal Cord Dysfunction

Kiyomi K Goto, DO Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Vocal cord dysfunction (VCD): a breathing disorder in which vocal cords adduct inappropriately. This occurs primarily on inspiration and produces airflow obstruction that may result ...

DIAGNOSIS

HISTORY

  • Recurrent episodes of “difficulty breathing in,” stridor, throat or chest tightness, choking sensation, wheezing, panic, and agitation

  • Stridulous sounds that are loudest above the thro...

TREATMENT

GENERAL MEASURES

  • Short term

    • Reassurance and relaxation techniques:

      • Pursing lips

      • Panting (rapid, shallow breathing)

      • Diaphragmatic breathing

      • Breathing through the nose or a straw

      • Exhaling with a hiss...

ONGOING CARE

PROGNOSIS

Spontaneous resolution is common. 

REFERENCES

1
Morris  MJ, Allan  PF, Perking  PJ. Vocal cord dysfunction: etiologies and treatment. Clin Pulm Med.  2006;13(2):73–86.
2
...

ADDITIONAL READING

  • Deckert  J, Deckert  L. Vocal cord dysfunction. Am Fam Physician.  2010;81(2):156–159.

  • Newsham KR, Klaben BK, Mill...

CODES

ICD10

  • J38.3 Other diseases of vocal cords

  • J38.00 Paralysis of vocal cords and larynx, unspecified

  • J38.1 Polyp of vocal cord and larynx

  • J38.01 Paralysis of vocal cords and larynx, unilateral

  • J38.02 Pa...

CLINICAL PEARLS

  • Always consider VCD in poorly controlled asthmatics.

  • A multidisciplinary approach may be required for diagnosis and treatment.

  • Speech therapy is the mainstay of long-term treatment.

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×