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Sprache · Stimme · Gehör 2021; 45(02): 89-92
DOI: 10.1055/a-1351-9369
Schwerpunktthema

Inducible Laryngeal Obstruction (ILO) – eine dramatische Atemnot

Inducible Laryngeal Obstruction (ILO) – A Dramatic Dyspnea
Jörg Bohlender
,
Meike Brockmann-Bauser
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Bei Patienten mit einer Inducible Laryngeal Obstruction (ILO) stellt der plötzliche Symptombeginn mit Stridor und Atemnot klinisch immer noch eine Herausforderung dar. Eine ausführliche Anamnese mit Ausschluss möglicher Ursachen und eine kontinuierliche flexible Laryngoskopie (CFE) gelten als Goldstandard zur Diagnostik. Gezielte Patientenaufklärung und Therapie mit Schwerpunkt funktionelle Atemtechnik führen oft zu einer deutlichen Verbesserung der Symptome.

Abstract

The sudden symptom onset with partially severe stridor or dyspnea in patients with induced laryngeal obstruction (ILO) still represents a diagnostic challenge in clinical practice. In addition to a targeted anamnesis with exclusion of possible causes, continuous flexible laryngoscopy (CFE) is considered as gold standard for the diagnosis of exercise-induced laryngeal obstruction (EILO). Disease specific patient education and speech therapy focusing on respiratory techniques often lead to a significant improvement in symptoms. Current explanatory models emphasize neurogenic, functional, and aerodynamic causes. Further studies on underlying causes may reveal which treatment methods are most effective.

Schlüsselwörter

(Exercise) Inducible Laryngeal Obstruction - EILO - ILO - Stimmdiagnostik - Logopädie

Key words

(Exercise) inducible laryngeal obstruction - EILO - ILO - voice diagnostics - logopedics


Publication History

Article published online:
07 June 2021

© 2021. Thieme. All rights reserved.

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  • Literatur

  • 1 Christopher KL, Morris MJ. Vocal cord dysfunction, paradoxic vocal fold motion, or laryngomalacia? Our understanding requires an interdisciplinary approach. Otolaryngol Clin North Am 2010; 43: 43-66
    CrossrefPubMedSearch in Google Scholar
  • 2 Olin JT, Westhoff Carlson E. Exercise-Induced Laryngeal Obstruction and Performance Psychology: Using the Mind as a Diagnostic and Therapeutic Target. Immunol Allergy Clin North Am 2018; 38: 303-315
    CrossrefPubMedSearch in Google Scholar
  • 3 Haines J, Hull JH, Fowler SJ. Clinical presentation, assessment, and management of inducible laryngeal obstruction. Curr Opin Otolaryngol Head Neck Surg 2018; 26: 174-179
    CrossrefPubMedSearch in Google Scholar
  • 4 Morris MJ, Christopher KL. Diagnostic criteria for the classification of vocal cord dysfunction. Chest 2010; 138: 1213-1223
    CrossrefPubMedSearch in Google Scholar
  • 5 Røksund OD, Heimdal JH, Clemm H. et al. Exercise inducible laryngeal obstruction: diagnostics and management. Paediatr Respir Rev 2017; 21: 86-94
    CrossrefPubMedSearch in Google Scholar
  • 6 Olin JT, Deardorff EH, Fan EM. et al. Therapeutic laryngoscopy during exercise: A novel non-surgical therapy for refractory EILO. Pediatr Pulmonol 2017; 52: 813-819
    CrossrefPubMedSearch in Google Scholar
  • 7 Shay EO, Sayad E, Milstein CF. Exercise-induced laryngeal obstruction (EILO) in children and young adults: From referral to diagnosis. Laryngoscope 2020; 130: E400-e406
    CrossrefPubMedSearch in Google Scholar
  • 8 Nielsen EW, Hull JH, Backer V. High prevalence of exercise-induced laryngeal obstruction in athletes. Med Sci Sports Exercise 2013; 45: 2030-2035
    CrossrefPubMedSearch in Google Scholar
  • 9 Smith B, Milstein C, Rolfes B. et al. Paradoxical vocal fold motion (PVFM) in pediatric otolaryngology. Am J Otolaryngol 2017; 38: 230-232
    CrossrefPubMedSearch in Google Scholar
  • 10 Shembel AC, Hartnick CJ, Bunting G. et al. Perceptual Clinical Features in Exercise-Induced Laryngeal Obstruction (EILO): Toward Improved Diagnostic Approaches. J Voice 2019; 33: 880-893
    CrossrefPubMedSearch in Google Scholar
  • 11 Liyanagedera S, McLeod R, Elhassan HA. Exercise induced laryngeal obstruction: a review of diagnosis and management. Eur Arch Otorhinolaryngol 2017; 274: 1781-1789
    CrossrefPubMedSearch in Google Scholar
  • 12 Sayad E, Das S. Exercise Induced Laryngeal Obstruction. Treasure Island (FL): StatPearls Publishing LLC; 2020
    Search in Google Scholar
  • 13 Olin JT, Clary MS, Fan EM. et al. Continuous laryngoscopy quantitates laryngeal behaviour in exercise and recovery. Eur Respir J 2016; 48: 1192-1200
    CrossrefPubMedSearch in Google Scholar
  • 14 Halvorsen T, Walsted ES, Bucca C. et al. Inducible laryngeal obstruction: an official joint European Respiratory Society and European Laryngological Society statement. Eur Respir J 2017; 50
    CrossrefPubMedSearch in Google Scholar
  • 15 Shaffer M, Litts JK, Nauman E. et al. Speech-Language Pathology as a Primary Treatment for Exercise-Induced Laryngeal Obstruction. Immunol Allergy Clin North Am 2018; 38: 293-302
    CrossrefPubMedSearch in Google Scholar
  • 16 Olin JT. Exercise-Induced Laryngeal Obstruction: When Pediatric Exertional Dyspnea Does not Respond to Bronchodilators. Front Pediatr 2019; 7: 52
    CrossrefPubMedSearch in Google Scholar