JAMA Otolaryngology–Head & Neck Surgery Author Interviews Biofeedback vs Respiratory Retraining for Inducible Laryngeal Obstruction
Dec 11, 2025
Molly N. Huston, an expert in voice and airway disorders, and William A. Strober, a resident physician, dive into the complexities of inducible laryngeal obstruction (ILO). They discuss common misdiagnoses, particularly with asthma, and highlight the importance of multidisciplinary care. The conversation contrasts biofeedback techniques with respiratory retraining, revealing their study's modest outcomes. Furthermore, they explore the significance of anxiety in patients and the necessity of tailored referrals in enhancing treatment options.
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ILO Often Masquerades As Asthma
- Inducible laryngeal obstruction (ILO) often mimics asthma and is frequently underdiagnosed.
- Delayed diagnosis creates significant patient burden and healthcare costs.
Use Immediate Video Biofeedback
- Use simple video biofeedback: show live laryngeal anatomy and teach a 3s nasal inhale with a 5s pursed-lip exhale.
- This single-session technique is straightforward and can be delivered immediately after endoscopy.
Refer For Tailored Respiratory Retraining
- Offer respiratory retraining via speech-language pathology with tailored techniques and trigger exploration.
- Schedule at least two outpatient sessions to address individualized breathing strategies.