RT Journal Article
SR Electronic
T1 Inducible laryngeal obstruction: an official joint European Respiratory Society and European Laryngological Society statement
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 1602221
DO 10.1183/13993003.02221-2016
VO 50
IS 3
A1 Thomas Halvorsen
A1 Emil Schwarz Walsted
A1 Caterina Bucca
A1 Andrew Bush
A1 Giovanna Cantarella
A1 Gerhard Friedrich
A1 Felix J.F. Herth
A1 James H. Hull
A1 Harald Jung
A1 Robert Maat
A1 Leif Nordang
A1 Marc Remacle
A1 Niels Rasmussen
A1 Janet A. Wilson
A1 John-Helge Heimdal
YR 2017
UL http://erj.ersjournals.com/content/50/3/1602221.abstract
AB Inducible laryngeal obstruction (ILO) describes an inappropriate, transient, reversible narrowing of the larynx in response to external triggers. ILO is an important cause of a variety of respiratory symptoms and can mimic asthma. Current understanding of ILO has been hampered by imprecise nomenclature and variable approaches to assessment and management. A task force of the European Respiratory Society (ERS) and European Laryngological Society (ELS) was thus set up to address this, and to identify research priorities.A literature search identified relevant articles published until June 2016, using all identifiable terms for ILO, although including only articles using laryngoscopy. In total, 172 out of 252 articles met the inclusion criteria, summarised in sections on diagnostic approach, aetiology, comorbidities, epidemiology and treatment. The consensus taxonomy published by ERS, ELS and the American College of Chest Physicians (ACCP) in 2015 is used throughout this statement.We highlight the high prevalence of ILO and the clinical impact for those affected. Despite recent advances, most aspects of this condition unfortunately remain incompletely understood, precluding firm guidance. Specifically, validated diagnostic and treatment algorithms are yet to be established, and no randomised control studies were identified in this search; hence we also make recommendations for future research.The larynx in respiratory medicine: an updated official statement from the ERS and ELS http://ow.ly/2WQ130dqLPp