Abstract:
Executive summary
Title: The current practice in management of paradoxical vocal fold dysfunction
(PVFD)
in
Bangladesh.
Aim: The purpose of this study is to investigate the current practice in management of
paradoxical vocal fold dysfunction (
PVFD)
in Bangladesh.
Objectives:
1. To explore the level of knowledge in management of paradoxical vocal fold dysfunction
(
PVFD)
of the respiratory specialist, ENT specialist and speech & language therapist.
2. To investigate the common practice
(
Diagnosis, treatment and management, multidisciplinary
approach.
)
in management the Paradoxical Vocal Fold Dysfunction.
3. To investigate the caseload and referral system practiced by respiratory specialist, ENT
specialist, speech & language therapist in management of PVFD in Bangladesh.
Study Design: The study is based on a phenomenological qualitative research design paradigm.
Participants: MBBS doctors who have post graduation degree regarding respiratory disease
condition and ENT specialists having at least 2 years clinical experience. Graduate SLTs having
1 years of experience. Participants who are willing to take part in this study.
Sampling: In this study 43 samples were selected using a purposive
(
non-probability
)
sampling
technique in accordance with the inclusion and exclusion criteria.
Data Collection: Face-to-face, structured both close and open-ended interviews were conducted
with transcripts and electronic voice recordings taken for further analysis.
Data Analysis: Content analysis specifically focused on keywords and themes was used to
initially summaries the data for later analysis.
Results: Though 39 of the participants among 43 claimed that they know about the condition.
But only very few overall 5 of them were able to demonstrate comprehensive idea about
presentation, diagnosis and treatment. Most of them conflict it with differential diagnosis and
some of them make diagnosis that doesn’t have clinical evidence. Though due to lack of
knowledge represent number of client has not been demonstrated but among the specialists who
represents comprehensive idea about the condition overall get 50 to 100 client yearly in total
where SLT do not get any. Instead of acknowledging SLT service to be effective referral is not
satisfactory. Specialist still don’t follow standard diagnosis protocol though all the settings are
available in Bangladesh, more over due to lack of awareness effective MDT approach is not
practice followed.
