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Treatment of Chronic Cough
Otolaryngol Head Neck Surg. 2017 Jan;156(1) :103-108
PMID: 28045638 URL: https://www.ncbi.nlm.nih.gov/pubmed/28045638
AbstractObjective Chronic cough remains a challenging condition, especially in cases where it persists despite comprehensive medical management. For these particular patients, there appears to be an emerging role for behavior modification therapy. We report a series of patients with refractory chronic cough to assess if there is any benefit of adding behavioral therapy to their treatment regimen. Study Design A case series with planned chart review of patients treated for chronic cough. Setting The review was performed with an outpatient electronic health record system at a tertiary care center. Subjects and Methods The charts of all patients treated for chronic cough by a single laryngologist over a 30-month period were analyzed. Patients' response to treatment and rate of cough improvement were assessed for those with refractory chronic cough who underwent behavior modification therapy. Results Thirty-eight patients with chronic cough were initially treated empirically for the most common causes of cough, of which 32% experienced improvement. Nineteen patients who did not significantly improve with medical management underwent behavior modification therapy with a speech-language pathologist. Of these patients, 84% experienced resolution or marked improvement of their symptoms. Conclusion Behavioral therapy may be underutilized in practice and could lead to improvement of otherwise recalcitrant cough.
Notes1097-6817 Soni, Resha S Ebersole, Barbara Jamal, Nausheen Journal Article England Otolaryngol Head Neck Surg. 2017 Jan;156(1):103-108. doi: 10.1177/0194599816675299. Epub 2016 Oct 25.