Paradoxical vocal fold movement: a case report

J Voice. 1997 Sep;11(3):368-72. doi: 10.1016/s0892-1997(97)80017-3.


We present a case of one patient with respiratory stridor that was resolved by speech therapy. Paradoxical vocal fold movements were observed by flexible fiberoptic videolaryngoscopy in this patient during episodes of wheezing and dyspnea. Otherwise, normal vocal fold movement was observed in normal conditions of breathing (out of the crisis) and during phonation. Many different terms have been used to describe this entity in the literature, and it is crucial that clinicians recognize the subtle signs of functional stridor. Paradoxical vocal fold motion has to be considered as an important cause of respiratory disease. Its recognition and treatment are discussed in this report.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Laryngismus / complications
  • Laryngismus / physiopathology
  • Male
  • Speech Therapy
  • Vocal Cords / physiopathology*
  • Voice Disorders / etiology
  • Voice Disorders / physiopathology*
  • Voice Disorders / therapy