Main Content

Paradoxical Vocal Fold Movement

Laryngeal spasm or paradoxical (opposite) vocal fold movement can be diagnosed if you are having trouble getting air “IN”. Asthma is typically described as difficulty getting air “OUT” of the lungs. Common triggers are strenuous exercise, strong smells, smoke, chemicals, and reflux episodes. Breathing in cold air can help but most of the time simply sniffing instead of gasping for air through your mouth will help break the shortness of breath.

It is recommended you sit down and begin sniff breathing exercises. Use an asthma inhaler if you are provided one but it may not be needed if you control it with sniffing. Sniff breathing can override the brain’s message to close the airway. When you are sniffing in through your nose you are always getting air into the lungs. If you feel congested you may want to try a few nasal sprays of Afrin to open you up.

SNIFF BREATHING:

• TAKE 3 QUICK SNIFF INHALES AND ONE LONG REGULAR EXHALE FOR 2 MINUTES
• TAKE 2 QUICK SNIFF INHALES AND ONE LONG REGULAR EXHALE FOR 2 MINUTES
• TAKE 1 MEDIUM TO LONG SNIFF INHALE AND ONE REGULAR EXHALE FOR 2 MINUTES
• GRADUALLY RELAX INTO REGULAR BREATHING PATTERN

Back to ENT Patient Information