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Stemmebåndsdysfunksjon

Sist revidert:
Sist revidert av:
Definisjon:
En unormal lukning av stemmebåndene under respirasjonssyklus - med luftveisobstruksjon særlig under inspirasjon. Skyldes økt muskeltonus i svelget, uten kjent årsak
Forekomst: 
Relativt sjelden, hyppigst blant yngre voksne
Symptomer:
Typisk hvesing/stridor, hoste, følelse av tetthet i halsen, heshet eller stemmeforandringer. Tungpusthet med inspiratorisk stridor, ofte utløst av anstrengelse
Funn:
Stridor i larynks. Laryngoskopi kan vise helt eller delvis lukkede stemmebånd
Diagnostikk: 
Nedsatt flow ved inspirasjon ved spirometri. Utelukke astma 
Behandling:
Avslappingsteknikker, stemmebåndstrening og pusteøvelser, ev. kognitiv terapi
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  • Terje Johannessen, professor i allmennmedisin, Trondheim