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Logopaedica Lodziensia

Polish Title

Paradoksalne ruchy fałdów głosowych jako czynnościowa przyczyna duszności krtaniowej i chrypki

Author ORCID Identifier

https://orcid.org/0000-0001-5400-6094 Mielczarek Marzena

https://orcid.org/0000-0001-8311-5513 Zielińska‑Bliźniewska Hanna

https://orcid.org/0000-0002-8868-9679 Olszewski Jurek

Abstract

Paradoxical vocal fold movements is a complex and heterogenic syndrome. It is a functional disorder manifesting itself as a pathological adduction of vocal folds in the inspiratory and/ or expiratory phase, resulting in airway obstruction and dyspnoea. This pathology may appear as an extreme form of psychosomatization involving otolaryngological organs, leading to dyspnoea and stridor. The paper presents the case of a young woman who was admitted to hospital due to dyspnoea, stridor and hoarseness. The paper presents the clinical picture, diagnostics and therapeutic procedures which were used.

Polish Abstract

Paradoksalne ruchy fałdów głosowych (ang. paradoxical vocal fold movements – PVFM) to kompleksowy, heterogenny zespół objawów o zróżnicowanej etiologii i manifestacji klinicznej. Jest to zaburzenie czynnościowe, które oznacza patologiczne przywiedzenie fałdów głosowych w fazie wdechowej i/lub wydechowej, co skutkuje obturacją dróg oddechowych i dusznością. Jednostka ta może być klinicznie skrajną postacią psychosomatyzacji, w zakresie laryngologicznym prowadzącą do objawów zwężenia głośni. W artykule zaprezentowano przypadek młodej kobiety, która zgłosiła się do szpitala z powodu duszności ze stridorem oraz chrypki. Przedstawiono obraz kliniczny, diagnostykę i postępowanie terapeutyczne.

Keywords

paradoxical vocal fold movements, laryngeal dyspnoea, hoarseness, stridor, psychosomatic disorders

Polish Keywords

paradoksalne ruchy fałdów głosowych, duszność krtaniowa, chrypka, stridor, zaburzenia psychosomatyczne

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