Paradoxical vocal fold motion (intermittent laryngeal obstruction)

If findings of laryngopharyngeal reflux (LPR) are identified on laryngeal examination, re-evaluation should take place after 3 months to assess the effectiveness of medical and behavioral management. If resolution has not occurred after 3 months, further medical management of LPR is indicated in addition to possible referral to a gastroenterology specialist.

Patients with the correct diagnosis of paradoxical vocal fold motion (intermittent laryngeal obstruction) typically improve with 3-4 behavioral treatment sessions over 4-6 weeks with the speech language pathologist. If the patient has not improved with medical management of LPR and asthma and adherence to all behavioral recommendations, further diagnostics may be indicated by pulmonology, gastroenterology, neurology, and/or otolaryngology.