Guedj Danaé, Seifert Eberhard, Jaquet Yves
Service d'ORL et chirurgie cervico-faciale, Département des neurosciences cliniques, Hôpitaux universitaires de Genève, 1211 Genève 14.
Unité de Phoniatrie, Service d'ORL et chirurgie cervico-faciale, Hôpital de l'île, 3010 Berne.
Rev Med Suisse. 2023 Oct 4;19(844):1791-1795. doi: 10.53738/REVMED.2023.19.844.1791.
Inducible laryngeal obstruction (ILO) is a phenomenon of paradoxical upper airway closure during breathing causing respiratory distress and a noisy breathing. It most often appears during maximal exertion but can also be induced by inhalation of irritants, pharyngolaryngeal reflux or stressful situations. It can sometimes be confused with an acute asthma attack. The gold standard investigation is a videolaryngoscopy during ergometry which can confirm the diagnosis, allowing appropriate treatment. The aim of this article is to describe the pathophysiology of ILO and to discuss paraclinical examinations and treatment options.
可诱导性喉梗阻(ILO)是一种呼吸过程中出现的矛盾性上气道闭合现象,可导致呼吸窘迫和呼吸杂音。它最常出现在最大运动时,但也可由吸入刺激性物质、咽喉反流或应激情况诱发。它有时会与急性哮喘发作相混淆。金标准检查是在运动测试期间进行视频喉镜检查,这可以确诊,从而进行适当的治疗。本文的目的是描述ILO的病理生理学,并讨论辅助检查和治疗选择。