Voice 5 - Special populations

**come back to add gender affirming voice if needed

paradoxical vocal fold motion aka

episodic laryngospasm, exercise induced laryngeal obstruction

causes of PVFM

likely multifactorial and not strictly psychologic in origin

PVFM triggers

• GERD/LPR

• psychological/psychosocial

• inhaled irritants

• intrinsic

• temperature

• activity

common symptom of PVFM

chronic cough

PVFM differential diagnosis

asthma, laryngomalacia, VF paresis

PVFM treatment

• manage comorbid conditions

• education/counseling/reassurance

• respirtaory training (breathing techniques, interrupt spasms)

• focus on retraining VF movement and controlling breathing and de-programming the maladaptive pattern of PVFM

is glottal fry dysphonia?

sporadic vocal fry is NOT