Última revisão: 2 Jul 2021
Última atualização: 25 Mai 2021

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • tratamento prévio para asma sem resposta a broncodilatadores
  • dispneia episódica: início e resolução rápidos
  • dificuldade para inalar
  • tosse
  • estridor inspiratório
  • aumento da sensibilidade a fatores desencadeantes inespecíficos após exposição inicial
  • tensão laríngea palpável
  • perda de consciência

Fatores de risco

  • refluxo laringofaríngeo (RLF)
  • Doença do refluxo gastroesofágico (DRGE)
  • asma
  • exposição ocupacional/ambiental a irritantes
  • sexo feminino
  • atividades atléticas competitivas
  • ansiedade
  • atrofia de múltiplos sistemas (AMS)
  • disfonia de tensão muscular
  • distonia laríngea respiratória adutora
  • cirurgia

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • nasoendoscopia com fibra óptica flexível
  • teste de função pulmonar (TFP)/traçado de fluxo-volume

Investigações a serem consideradas

  • tomografia computadorizada (TC) dos seios da face
  • teste de discriminação sensorial da laringe

Algoritmo de tratamento

Colaboradores

Autores

Sherri K. Zelazny, MA, RSLP, CCC-SLP
Sherri K. Zelazny

Senior Clinical Speech Language Pathologist

Surrey Voice Clinic

Abilities Neurological Rehabilitation

Surrey

British Columbia

Canada

Declarações

SKZ has received income from Northern Speech Services for educational webinar production on Paradoxical Vocal Fold Motion and Chronic Cough. SKZ is President of Speech and Hearing BC (2017-2019), and on the Board of Directors of Parkinson Society BC.

Susan L. Thibeault, PhD
Susan L. Thibeault

Assistant Professor

Director of Voice and Swallowing Clinic

Division of Otolaryngology - Head and Neck Surgery

University of Wisconsin School of Medicine and Public Health

Health Sciences Learning Center

Madison

WI

Declarações

SLT declares that she has no competing interests.

Agradecimentos

Ms Sherri K. Zelazny and Dr Susan L. Thibeault would like to gratefully acknowledge Dr Michael Johns, a previous contributor to this topic. MJ declares that he has no competing interests.

Revisores

Julina Ongkasuwan, MD

Associate Professor

Otolaryngology - Head and Neck Surgery

Baylor College of Medicine

Texas Children’s Hospital

Houston

TX

Declarações

JO receives book royalties from Springer and Elsevier.

Janet Wilson, BSc, MD, FRCSEd, FRCSEng

Professor of Otolaryngology - Head and Neck Surgery

Newcastle University

Honorary Consultant Otolaryngologist

Freeman Hospital

Newcastle-Upon-Tyne

UK

Declarações

JW declares that she has no competing interests.

Ryner Jose Dela Cruz Carrillo, MD, MSc, FPSOHNS, FPAHNS

Associate Professor

Department of Otorhinolaryngology

Department of Anatomy

University of the Philippines

College of Medicine

Manila

Philippines

Declarações

RJDCC declares that he has no competing interests.

Tom Murry, PhD

Professor of Speech Pathology

Department of Otolaryngology - Head and Neck Surgery

Clinical Director of the Voice and Swallowing Center

College of Physicians and Surgeons

Columbia University at New York Presbyterian Hospital

New York

NY

Declarações

TM declares that he has no competing interests.

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