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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Main Authors: Rebecca A. Castro, Craig H. Zalvan, Craig Berzofsky
Format: Article
Language:English
Published: Wiley 2020-01-01
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.
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institution Kabale University
issn 2090-6765
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publishDate 2020-01-01
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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