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Inducible laryngeal obstruction

by Alike Medical Team ∙ Updated on June 13, 2023

Additional names

This group contains additional names: - ILO - Paradoxical vocal fold motion

General

Inducible laryngeal obstruction (ILO), also known as paradoxical vocal fold motion, describes an inappropriate, transient, reversible narrowing of the larynx in response to external triggers.

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Signs & symptoms

The most common complaint of ILO is shortness of breath, throat tightness, cough, chocking sensation, dysphonia, dysphonia (having an abnormal voice), or gastroesophageal reflux.

Diagnosis

The diagnosis is confirmed by flexible laryngoscopy during an episode by visualization of abnormal adduction of the vocal folds and exclusion of other causes of throat obstruction. I

Treatment

The treatment options defer depending whether it is an acute, recurrent, or exercise induce ILO. - Acute - initially using panting maneuvers. If this is not effective, continuous positive airway pressure may be helpful. - Recurrent - a long-term management strategy that combines speech and behavioral therapy, and also avoidance of perceived laryngeal irritants. - Exercise-induced laryngeal obstruction (EILO) - speech-behavioral therapy and sometimes biofeedback using therapeutic laryngoscopy during exercise may be helpful.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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