Otolaryngology Aspects of Chronic Cough

Kenneth W. Altman, Andrew P. Lane, Richard S. Irwin

Research output: Contribution to journalReview articlepeer-review

Abstract

Cough is an increasingly important public health concern, and diagnosis and treatment can be challenging in these complex patients. The purpose of this review is to address the roles of otolaryngology in understanding pathophysiology, and unique aspects in their diagnosis and management. Evidence-based best practice through clinical practice guidelines for cough is emphasized. A step-wise description of the interrelated pathophysiology is used to gain a deeper understanding of contributing disease states and the importance of synergistic effects on cough. Unique perspectives exist from an otolaryngology perspective regarding chronic cough. Included here are the premier role of the larynx, immunity, and the microbiome in the Unified Airway, the interconnected nature of reflux disease with respiratory physiology, a spectrum of neurologic diseases tying aspiration to cough, and maladaptive neuro-based behaviors. Otolaryngology aspects of chronic cough encompass the composite nature of the disease with all of its contributions.

Original languageEnglish (US)
Pages (from-to)1750-1755
Number of pages6
JournalJournal of Allergy and Clinical Immunology: In Practice
Volume7
Issue number6
DOIs
StatePublished - Jul 1 2019

Keywords

  • Allergy
  • Cough
  • Esophageal reflux
  • Larynx
  • Otolaryngology
  • Respiratory disease
  • Unified Airway

ASJC Scopus subject areas

  • Immunology and Allergy

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