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Abstract

Objectives: This article reports the outcome of conservative management program for Paradoxical Vocal Fold Motion (PVFM) in twenty adolescent patients previously diagnosed as refractory asthma. Study design: A prospective observational follow up study Methods: Twenty consecutive referrals of refractory asthma patients diagnosed as having PVFM assessed, treated and followed for at least 6 months after treatments Results: Most of the patients showed irritable larynx, 80% of patients had adduction of the vocal folds during inspiration, 50% had posterior glottis congestion and 100% had a constriction of the supraglottic area during inspiration. There are highly significant differences in the scores of both self-reported questionnaire and laryngeal parameters before and after therapy with lowering the scores after voice therapy Conclusion: There are many parameters at laryngeal examination which could be used for diagnosis of paradoxical vocal fold motion in between attacks. Voice therapy with Psychological counseling and anti-reflux measures are very effective in controlling the manifestation of PVFM.

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