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Journal of Voice
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    • PVFM VCD and Chronic Cough

    Article Type

    • Research Article10

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    • Gallivan, Gregory J2
    • Gallivan, K Holly2
    • Gibson, Peter G2
    • Theodoros, Deborah G2
    • Vertigan, Anne E2
    • Winkworth, Alison L2
    • Aladag, Ibrahim1
    • Altman, Ken W1
    • Andrianopoulos, Mary V1
    • Aydogan, Filiz1
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    • Doyle, Philip C1
    • Emami, AJ1
    • Eyibilen, Ahmet1
    • Gultekin, Erdogan1
    • Guven, Mehmet1
    • Hew, Mark1
    • Hoffman, Lee1
    • Hoy, Ryan1
    • Martin, Gerald F1
    • Mirza, Natasha1
    • Morrison, Murray1
    • Ozcan, Kursat Murat1

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    • Journal of Voice10

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    • Chronic cough3
    • Asthma2
    • Laryngostroboscopy2
    • Larynx2
    • Acoustic analysis1
    • Acoustic voice analysis1
    • Adduction1
    • Aerodynamic measurements1
    • Biofeedback1
    • Botulinum toxin1
    • Botulinum toxin type A1
    • Cardiopulmonary resuscitation1
    • CNS viral illness1
    • Cough1
    • Dysphonia1
    • Efficacy1
    • Electroglottographic analysis1
    • Electromyography1
    • Endotracheal intubation1
    • Environmental sensitivity1
    • Episodic paroxysmal laryngospasm1
    • Episodic paroxysmal laryngospasm (EPL)1
    • Extrathoracic upper airway obstruction1
    • Flow volume loop1
    • Flow-volume loop1

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    Journal of Voice Source Readings

    Paradoxical Vocal Fold Motion (PVFM), Vocal Cord Dysfunction (VCD), and Chronic Cough

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    • Research Article

      Inhaled Mannitol as a Laryngeal and Bronchial Provocation Test

      Journal of Voice
      Vol. 31Issue 2p247.e19–247.e23Published online: August 26, 2016
      • Tunn Ren Tay
      • Ryan Hoy
      • Amanda L. Richards
      • Paul Paddle
      • Mark Hew
      Cited in Scopus: 10
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        Timely diagnosis of vocal cord dysfunction (VCD), more recently termed “inducible laryngeal obstruction,” is important because VCD is often misdiagnosed as asthma, resulting in delayed diagnosis and inappropriate treatment. Visualization of paradoxical vocal cord movement on laryngoscopy is the gold standard for diagnosis, but is limited by poor test sensitivity. Provocation tests may improve the diagnosis of VCD, but the diagnostic performance of current tests is less than ideal. Alternative provocation tests are required.
      • Research Article

        Voice Assessment After Treatment of Subacute and Chronic Cough With Inhaled Steroids

        Journal of Voice
        Vol. 29Issue 4p484–489Published online: February 20, 2015
        • Arzu Tuzuner
        • Sule Demirci
        • Gulden Bilgin
        • Ali Cagli
        • Filiz Aydogan
        • Kursat Murat Ozcan
        • and others
        Cited in Scopus: 4
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          Inhaled steroids are widely used for persistent cough treatment. Although the side effects of long-term inhaled steroids have been well described in the literature, their laryngeal side effects after short-term use have not yet been defined. The aim of this study was to evaluate the effect of 1 month application of inhaled steroid treatment on voice parameters in patients with subacute or chronic cough. Furthermore, the efficacy of inhaled steroids on cough was investigated, as well.
        • Research Article

          Impairment of Voice Quality in Paradoxical Vocal Fold Motion Dysfunction

          Journal of Voice
          Vol. 24Issue 6p724–727Published online: January 25, 2010
          • Kursat Yelken
          • Erdogan Gultekin
          • Mehmet Guven
          • Ahmet Eyibilen
          • Ibrahim Aladag
          Cited in Scopus: 11
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            To compare subjective and objective voice-quality parameters between asymptomatic paradoxical vocal fold motion dysfunction (PVFMD) patients and healthy individuals.
            Impairment of Voice Quality in Paradoxical Vocal Fold Motion Dysfunction
          • Research Article

            A Comparison of Two Approaches to the Treatment of Chronic Cough: Perceptual, Acoustic, and Electroglottographic Outcomes

            Journal of Voice
            Vol. 22Issue 5p581–589Published online: May 10, 2007
            • Anne E. Vertigan
            • Deborah G. Theodoros
            • Alison L. Winkworth
            • Peter G. Gibson
            Cited in Scopus: 30
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              Voice problems have been reported to occur in association with chronic cough (CC) and can interfere with quality of life. Voice symptoms can improve following behavioral intervention for CC that persists despite medical management; however, formal measures of voice changes have not been reported. The aim of this study was to measure the changes in perceptual, acoustic, and electroglottographic voice characteristics after a SPEech Pathology Intervention Program for CHronic Cough (SPEICH-C) compared to a Healthy Lifestyle Education intervention program (HLE control).
            • Research Article

              The Relationship Between Chronic Cough and Paradoxical Vocal Fold Movement: A Review of the Literature

              Journal of Voice
              Vol. 20Issue 3p466–480Published online: November 9, 2005
              • Anne E. Vertigan
              • Deborah G. Theodoros
              • Peter G. Gibson
              • Alison L. Winkworth
              Cited in Scopus: 54
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                Chronic cough (CC) and paradoxical vocal fold movement (PVFM) are debilitating conditions. PVFM has been given many labels,1 including vocal cord dysfunction,2 Munchausen's stridor, functional inspiratory stridor, nonorganic functional or psychogenic upper airway obstruction, factitious asthma, psychogenic stridor, emotional laryngeal wheezing, and episodic laryngeal dyskinesia.3 Although CC and PVFM have been considered separate entities in many reports, there is preliminary support for the notion that there may be an underlying link between these two conditions.
                The Relationship Between Chronic Cough and Paradoxical Vocal Fold Movement: A Review of the Literature
              • Research Article

                PVCM, PVCD, EPL, and irritable larynx syndrome: What are we talking about and how do we treat it?

                Journal of Voice
                Vol. 14Issue 4p607–618Published in issue: December, 2000
                • Mary V. Andrianopoulos
                • Gregory J. Gallivan
                • K. Holly Gallivan
                Cited in Scopus: 124
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                  Paroxysmal vocal cord movement/motion (PVCM), paroxysmal vocal cord dysfunction (PVCD), episodic paroxysmal laryngospasm (EPL), and irritable larynx syndrome (ILS) are terms used to describe laryngeal dysfunction masquerading as asthma, upper airway obstruction, or functional and organic voice disorders. The differential diagnosis of PVCM, PVCD, EPL, and ILS is critical to successful medical and behavioral management of the patient. During the past 10 years, 27 subjects, ages 15–79 years, were identified to have paroxysms of inspiratory stridor, acute respiratory distress, associated aphonia and dysphonia, resulting in misdiagnosis and unnecessary emergency treatments, including endotracheal intubation, cardiopulmonary resuscitation, massive pharmacotherapy, or tracheostomy.
                • Research Article

                  Paradoxical vocal fold motion: Presentation and treatment options

                  Journal of Voice
                  Vol. 14Issue 1p99–103Published in issue: March, 2000
                  • Ken W. Altman
                  • Natasha Mirza
                  • Cesar Ruiz
                  • Robert T. Sataloff
                  Cited in Scopus: 70
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                    Paradoxical vocal fold motion is a rare disorder in which adduction of the folds occurs on inspiration. The disorder presents with signs of airway obstruction and often airway distress, so proper diagnosis by the otorhinolaryngologist is critical to subsequent management. We present a retrospective review of 10 patients with the diagnosis of paradoxical vocal fold motion seen over a 6-year period. Eight patients were females, and 6 required an acute airway intervention at presentation; 3 patients eventually underwent tracheotomy for respiratory decompensation.
                  • Research Article

                    The irritable larynx syndrome

                    Journal of Voice
                    Vol. 13Issue 3p447–455Published in issue: September, 1999
                    • Murray Morrison
                    • Linda Rammage
                    • A.J. Emami
                    Cited in Scopus: 184
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                      Muscular tension dysphonia, episodic laryngospasm, globus, and cough may be considered to be hyperfunctional laryngeal symptoms. Suggested etiological factors for these symptoms include gastroesophageal reflux, psychological problems, and/or dystonia. We propose a unifying hypothesis that involves neural plastic change to brainstem laryngeal control networks through which each of the above etiologies, plus central nervous system viral illness, can play a role. We suggest that controlling neurons are held in a “spasm-ready” state and that symptoms may be triggered by various stimuli.
                    • Research Article

                      Episodic paroxysmal laryngospasm: Voice and pulmonary function assessment and management

                      Journal of Voice
                      Vol. 10Issue 1p93–105Published in issue: 1996
                      • Gregory J. Gallivan
                      • Lee Hoffman
                      • K. Holly Gallivan
                      Cited in Scopus: 58
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                        Episodic paroxysmal laryngospasm (EPL) is a sign of laryngeal dysfunction, often without a specific organic etiology, which can masquerade as asthma, vocal fold paralysis, or a functional voice disorder. The intermittent respiratory distress of EPL may precipitate an apparent upper airway obstructive emergency, resulting in unnecessary endotracheal intubation, cardiopulmonary resuscitation, or tracheostomy. During 27 months, seven women and three men, ages 30–76 years, were assessed by a high diagnostic index of suspicion, an intensive history including psychosocial factors, physical examination of the airways, provocative asthma testing, and swallowing studies.
                      • Research Article

                        Paradoxical glottal closure mechanism associated with postintubation granuloma

                        Journal of Voice
                        Vol. 5Issue 3p247–251Published in issue: 1991
                        • Philip C. Doyle
                        • Gerald F. Martin
                        Cited in Scopus: 0
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                          This report describes a paradoxical glottal closure mechanism that was documented in a patient with large, bilateral postintubation granulomas. This pathology existed without any perceptual deviation in voice quality. Although the patient exhibited a reduction in his maximum phonational frequency range (MPFR), an acoustic assessment of fundamental frequency across a variety of vocal tasks and jitter ratios (JRs) for sustained vowels, as well as measures of maximum phonation time, were within normal limits.
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