DIAGNOSTIC PROCEDURES

Vocal Cord Description of A Patient with Paradoxical Vocal Cord Dysfunction:

 According to Brugman and Simons (1998), there are three main configurations of the vocal cords if a patient has vocal cord dysfunction.

1.  Complete Closure - This can be a complete closure in the expiratory or
      inspiratory phase of respiration.  (Closing during experation can also
      be a symptom of asthma.)

2.  Chinking - "is the result of adduction of the anterior two-thirds of
     the vocal cords, by which a posterior diamond-shaped opening is
     formed (p. 65).

3.  Periglottic tissue prolapse - this involves a prolapse of all or some of the
     periglottic tissues through the glottic opening during inspiration.
 

Normal vocal cords allow air to pass through freely at mid-inspiration (Brugman & Simons, 1998).

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