From misdiagnosed asthma to anxiety-related breathing issues, inducible laryngeal obstruction is often hiding in plain sight. In this episode of the BackTable ENT Podcast, Dr. Steven Sims from Rush University Medical Center discusses contemporary care for inducible laryngeal obstruction (ILO) with guest host Dr. Stephen Schoeff.

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SYNPOSIS

The discussion elaborates on the evolution of the nomenclature surrounding vocal cord dysfunction and the clinical challenges in diagnosing and managing ILO. Dr. Sims shares his approach to patient evaluation, various presentations, and targeted treatment strategies, including the use of neuromodulators, speech pathology, and nerve blocks. He also delves into trauma-informed care, particularly focusing on patients with adverse childhood events and their impact on laryngeal function. The episode highlights the importance of an interdisciplinary approach, especially the role of speech pathologists in treating this complex condition.

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TIMESTAMPS

00:00 - Introduction
01:39 - Understanding Inducible Laryngeal Obstruction
04:53 - Patient Presentation and Evaluation
07:51 - Management Strategies and Patient Care
09:06 - Trauma and Mental Health Considerations
19:27 - Interdisciplinary Approach and Additional Testing
23:52 - Understanding Subglottic Stenosis and Asthma
27:08 - The Role of Botox in Treatment
31:49 - Biofeedback and Patient Empowerment
34:25 - Exercise-Induced Laryngeal Obstruction
39:05 - Advanced Treatment Approaches and Challenges
41:06 - Conclusion and Final Thoughts

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RESOURCES

Dr. Stephen Schoeff
https://www.enthealth.org/find-ent/stephen-s-schoeff/

Dr. H, Steven Sims
https://doctors.rush.edu/details/22035