Korean J Anesthesiol.  2016 Feb;69(1):84-87. 10.4097/kjae.2016.69.1.84.

Effectiveness of applying continuous positive airway pressure in a patient with paradoxical vocal fold movement after endotracheal extubation: a case report

• Shin YH
• Song KL
• Ko DC
• Pin JW
• Ryu KH
• Kim HS

• KMID: 2152867
• DOI: http://doi.org/10.4097/kjae.2016.69.1.84

Abstract

Paradoxical vocal fold movement (PVFM) is an uncommon upper airway disorder defined as paradoxical adduction of the vocal folds during inspiration. The etiology and treatment of PVFM are unclear. The physician should manage this condition because of the possibility of near complete airway obstruction in severe case of PVFM. We report a case of successful airway management in a patient with PVFM by applying continuous positive airway pressure (CPAP). In this case, PVFM was detected after removing an endotracheal tube from a 67-year-old male who underwent excision of a laryngeal mass. The patient recovered without complications in 1 day with support by CPAP.

Keyword

Continuous positive airway pressure; Inspiratory stridor; Paradoxical vocal fold movement; Postoperative dyspnea

MeSH Terms

Aged
Airway Extubation*
Airway Management
Airway Obstruction
Continuous Positive Airway Pressure*
Humans
Male
Vocal Cords*