Respir Case Rep. 2014; 3(1): 6-10 | DOI: 10.5505/respircase.2014.06641

Vocal Cord Dysfunction With Acute Respiratory Failure that Required Repeated Intubation

Ayþegül Tomruk Erdem¹, Figen Atalay², Fikret Çýnar³, Müge Meltem Tor^2
1Ýskilip Atýf Hoca State Hospital, Clinic Of Chest Diseases, Çorum
²Bülent Ecevit University, Faculty Of Medicine, Department Of Pulmonary Medicine, Zonguldak
³Bülent Ecevit University, Faculty Of Medicine, Department Of Otolaryngology, Zonguldak

Vocal cord dysfunction, also known as laryngeal wheezing or laryngeal asthma, is a disorder characterized by paradoxical closure of the vocal cords intermittently during inspiration and causing obstructive airway symptoms. The mechanism is unclear, but is thought to be responsible for psychogenic factors in the foreground. Severity of the disease varies from mild dyspnea to respiratory failure with requiring intubation or tracheostomy. Wheezing, stridor, and dyspnea are the typical symptoms. Diagnosis is made by observation of paradoxical vocal cord movement by laryngoscopy during the exhibition of symptoms. In this case report, a 70-year-old female patient was discussed, who presented with acute respiratory failure requiring intubation in the emergency room, and in the days that followed, was intubated three more times. In the end, the diagnosis was vocal cord dysfunction, which was treated with laser cordotomy.

Keywords: Vocal cord dysfunction, respiratory failure, repeated intubation

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Tekrarlayan Entübasyon Gerektiren Akut Solunum Yetmezliði Ýle Seyreden Vokal Kord Disfonksiyonu

Ayþegül Tomruk Erdem¹, Figen Atalay², Fikret Çýnar³, Müge Meltem Tor^2
1Ýskilip Atýf Hoca Devlet Hastanesi, Göðüs Hastalýklarý Kliniði, Çorum
²Bülent Ecevit Üniversitesi Týp Fakültesi, Göðüs Hastalýklarý Ad, Zonguldak
³Bülent Ecevit Üniversitesi Týp Fakültesi, Kulak Burun Boðaz Ad, Zonguldak

Vokal kord disfonksiyonu, laringeal wheezing ya da laringeal astým olarak da bilinen bozukluk, vokal kordlarýn inspiryum süresince paradoksal olarak kapanýp, obstrüktif hava yolu semptomlarýna yol açmasý ile karakterizedir. Mekanizma tam olarak bilinmemekle birlikte psikojenik faktörlerin ön planda sorumlu olduðu düþünülmektedir. Hastalýðýn þiddeti hafif dispneden entübasyon ya da trakeostomi gerektiren solunum yetmezliðine kadar deðiþir. Wheezing, stridor ve nefes darlýðý tipik bulgulardandýr. Hastalýðýn tanýsý semptomatik dönemde yapýlan laringoskopi ile vokal kordlarýn paradoksal hareketinin gözlenmesi ile konulur. Bu olgu sunumunda, acil servise entübasyon gerektiren akut solunum yetmezliði ile baþvuran, takiplerinde 3 kez daha entübe edilen, daha sonra vokal kord disfonksiyonu tanýsý konularak lazer kordotomi ile tedavi edilen 70 yaþýnda bayan hasta tartýþýlmaktadýr.

Anahtar Kelimeler: Vokal kord disfonksiyonu, solunum yetmezliði, tekrarlayan entübasyon

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