The current practice in management of paradoxical vocal fold dysfunction (PVFD) in Bangladesh

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.