Abstract
Initially described as hysteria and then Munchausen’s stridor, we now recognize vocal cord dysfunction as a functional group of disorders. Exercise and spontaneously occurring phenotypes exist that benefit from different treatments. The former appears to respond to pharmacological pretreatment with an anticholinergic aerosol and the latter may require vocal cord training to learn to relieve the symptoms. The differential diagnosis includes consideration of neurological and anatomical abnormalities. Recognition and effective treatment is important to permit the individual to be involved in activities important to them and to avoid unnecessary and ineffective medical care.
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Notes
- 1.
Detasseling is done to crossbreed or hybridize two different varieties of corn. Fields of corn that will be detasseled are planted with two varieties of corn. By removing the tassels from all plants of one variety, all the grain growing on those plants will be fertilized by the other variety’s tassels. Detasseling work is typically performed by teens; as such, it serves as a typical rite of passage (for many, it is their first job) in rural areas of the Corn Belt.
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Video 6.1: Flexible laryngoscopy demonstrating paradoxical vocal cord movement.mpg (MPG 9.59 MB)
Video 6.2: Flexible laryngoscopy demonstrating nearly continuous adduction of the vocal cords.mpg (MPG 7.49 MB)
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Weinberger, M.M., Doshi, D.R. (2012). Vocal Cord Dysfunction. In: Anbar, R.D. (eds) Functional Respiratory Disorders. Respiratory Medicine. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-857-3_6
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