Oto-tricho-tussia: An Unexpected Cause of Cough
Chronic cough is a frequently encountered condition with multiple etiologies. In patients with neurogenic chronic cough, peripheral laryngopharyngeal hypersensitivity of the vagus nerve stimulates the cough reflex. We present three cases of “Oto-tricho-tussia,” describing hair within the ear canal s...
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Format: | Article |
Language: | English |
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Wiley
2020-01-01
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Series: | Case Reports in Otolaryngology |
Online Access: | http://dx.doi.org/10.1155/2020/3527481 |
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author | Rebecca A. Castro Craig H. Zalvan Craig Berzofsky |
author_facet | Rebecca A. Castro Craig H. Zalvan Craig Berzofsky |
author_sort | Rebecca A. Castro |
collection | DOAJ |
description | Chronic cough is a frequently encountered condition with multiple etiologies. In patients with neurogenic chronic cough, peripheral laryngopharyngeal hypersensitivity of the vagus nerve stimulates the cough reflex. We present three cases of “Oto-tricho-tussia,” describing hair within the ear canal stimulating Arnold’s branch of the vagus nerve and triggering the urge-to-cough. All three patients experienced significant improvement or complete resolution of their cough symptoms after removal of the hair resting on their tympanic membrane and external auditory canal. We encourage ear canal examination and promotion of proper ear cleaning habits as this is an easily treatable consideration for the cause of chronic cough. |
format | Article |
id | doaj-art-c1197ac0cfa94dc0851aeebc3a232b25 |
institution | Kabale University |
issn | 2090-6765 2090-6773 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Otolaryngology |
spelling | doaj-art-c1197ac0cfa94dc0851aeebc3a232b252025-02-03T01:04:59ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/35274813527481Oto-tricho-tussia: An Unexpected Cause of CoughRebecca A. Castro0Craig H. Zalvan1Craig Berzofsky2Department of Otolaryngology, New York Medical College, Valhalla, NY, USADepartment of Otolaryngology, New York Medical College, Valhalla, NY, USADepartment of Otolaryngology, New York Medical College, Valhalla, NY, USAChronic cough is a frequently encountered condition with multiple etiologies. In patients with neurogenic chronic cough, peripheral laryngopharyngeal hypersensitivity of the vagus nerve stimulates the cough reflex. We present three cases of “Oto-tricho-tussia,” describing hair within the ear canal stimulating Arnold’s branch of the vagus nerve and triggering the urge-to-cough. All three patients experienced significant improvement or complete resolution of their cough symptoms after removal of the hair resting on their tympanic membrane and external auditory canal. We encourage ear canal examination and promotion of proper ear cleaning habits as this is an easily treatable consideration for the cause of chronic cough.http://dx.doi.org/10.1155/2020/3527481 |
spellingShingle | Rebecca A. Castro Craig H. Zalvan Craig Berzofsky Oto-tricho-tussia: An Unexpected Cause of Cough Case Reports in Otolaryngology |
title | Oto-tricho-tussia: An Unexpected Cause of Cough |
title_full | Oto-tricho-tussia: An Unexpected Cause of Cough |
title_fullStr | Oto-tricho-tussia: An Unexpected Cause of Cough |
title_full_unstemmed | Oto-tricho-tussia: An Unexpected Cause of Cough |
title_short | Oto-tricho-tussia: An Unexpected Cause of Cough |
title_sort | oto tricho tussia an unexpected cause of cough |
url | http://dx.doi.org/10.1155/2020/3527481 |
work_keys_str_mv | AT rebeccaacastro ototrichotussiaanunexpectedcauseofcough AT craighzalvan ototrichotussiaanunexpectedcauseofcough AT craigberzofsky ototrichotussiaanunexpectedcauseofcough |