Abstract
Objective: This article reports evaluation of 30
patients with Vocal Cord Dysfunction (VCD) and
the outcome of conservative management program
including voice therapy and breathing exercises.
Study design: A prospective observational follow up
study.
Methods: Thirty consecutive referrals of refractory
asthma patients and patients presented by laryngeal
symptoms diagnosed as having VCD were assessed,
treated and followed for at least 6 months after
treatments.
Results: 53% of patients had adduction of vocal
folds during inspiration, 50% had posterior glottis
congestion and 95% had constriction of supraglottic
area during inspiration. There was 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 signs during laryngeal
examination which could be used for diagnosis of
VCD in between attacks and we can conclude that
voice therapy with psychological counseling and anti-reflux treatments are effective in controlling the manifestations
of VCD.