Garcia Gilles
Service des explorations fonctionnelles multidisciplinaires, hôpital Antoine-Béclère, 92140 Clamart.
Rev Prat. 2011 Sep;61(7):904-6.
Vocal cord dysfunction is characterized by paradoxical vocal cord adduction, especially during inspiration. Clinical symptoms can mistakenly lead to a diagnosis of asthma. Some patients, thought to be asthmatic, are sometimes considered as having severe asthma. Positive diagnosis rests on the finding of paradoxical vocal cord adduction on laryngoscopic examination. The main limitation of this examination is associated with the intermittent nature of the symptoms. The diagnosis of vocal cord dysfunction can thus be mistakenly ruled out based on the absence of abnormalities on laryngoscopic examination. Therapeutic management focuses on phoniatric rehabilitation.
声带功能障碍的特征是声带反常内收，尤其是在吸气时。临床症状可能会错误地导致哮喘的诊断。一些被认为患有哮喘的患者有时被视为患有重度哮喘。确诊依赖于喉镜检查发现声带反常内收。这项检查的主要局限性与症状的间歇性有关。因此，基于喉镜检查无异常，声带功能障碍的诊断可能会被错误排除。治疗管理侧重于嗓音康复。
