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Important questions remain unresolved, and to improve collaboration and harmonization in the field, we convened an international Roundtable conference on VCD\/ILO in Melbourne, Australia. The aims were to delineate a consistent approach to VCD\/ILO diagnosis, appraise disease pathogenesis, outline current management and model(s) of care and identify key research questions. This report summarizes discussions, frames key questions and details recommendations. Participants discussed clinical, research and conceptual advances in the context of recent evidence. The condition presents in a heterogenous manner, and diagnosis is often delayed. Definitive diagnosis of VCD\/ILO conventionally utilizes laryngoscopy demonstrating inspiratory vocal fold narrowing &gt;50%. Computed tomography of the larynx is a new technology with potential for swift diagnosis that requires validation in clinical pathways. Disease pathogenesis and multimorbidity interactions are complex reflecting a multi\u2010factorial, complex condition, with no single overarching disease mechanism. Currently there is no evidence\u2010based standard of care since randomized trials for treatment are non\u2010existent. Recent multidisciplinary models of care need to be clearly articulated and prospectively investigated. Patient impact and healthcare utilization can be formidable but have largely escaped inquiry and patient perspectives have not been explored. Roundtable participants expressed optimism as collective understanding of this complex condition evolves. The Melbourne VCD\/ILO Roundtable 2022 identified clear priorities and future directions for this impactful condition.<\/jats:p>","DOI":"10.1111\/resp.14518","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T02:46:53Z","timestamp":1684896413000},"page":"615-626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Vocal cord dysfunction\/inducible laryngeal obstruction\u20142022 Melbourne Roundtable Report"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7409-9328","authenticated-orcid":false,"given":"Paul","family":"Leong","sequence":"first","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5865-489X","authenticated-orcid":false,"given":"Peter G.","family":"Gibson","sequence":"additional","affiliation":[{"name":"John Hunter Hospital  Newcastle New South Wales Australia"},{"name":"Centre of Excellence in Treatable Traits University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne E.","family":"Vertigan","sequence":"additional","affiliation":[{"name":"John Hunter Hospital  Newcastle New South Wales Australia"},{"name":"Centre of Excellence in Treatable Traits University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Hew","sequence":"additional","affiliation":[{"name":"Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9890-3408","authenticated-orcid":false,"given":"Vanessa M.","family":"McDonald","sequence":"additional","affiliation":[{"name":"John Hunter Hospital  Newcastle New South Wales Australia"},{"name":"Centre of Excellence in Treatable Traits University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9596-574X","authenticated-orcid":false,"given":"Philip G.","family":"Bardin","sequence":"additional","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.02221-2016"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2009.05.024"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201708-1646IM"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01466-2019"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2022.02.025"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.14156"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201902-0396LE"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2015-207555"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2019.12.906"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.09-2944"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2020.105990"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.00006513"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1030-8"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2021-104704"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2022-105567"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00160-2016"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00195-2021"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(21)00501-4"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201606-1249CI"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00379"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2021.11.009"},{"key":"e_1_2_11_23_1","volume-title":"The role of speech and language therapy in upper airway disorders within adult respiratory services","author":"Haines J","year":"2021"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201010-1604OC"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1113-6"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1109\/TBME.2018.2867636"},{"key":"e_1_2_11_27_1","unstructured":"Centre of Excellence in Treatble Traits. 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