TY - JOUR
T1 - Elongated uvula causing chronic cough
T2 - Role of the modified uvulopalatoplasty procedure
AU - Loftus, Patricia A.
AU - Stegnjajic, Arsen
AU - Tibbetts, Kathleen M.
AU - Badhey, Arvind K.
AU - Glicksman, Jeffrey
N1 - Publisher Copyright:
© The Author(s) 2015.
PY - 2016/4
Y1 - 2016/4
N2 - Objective: A subset of patients previously diagnosed with idiopathic chronic cough were found to have an elongated uvula contacting the laryngeal surface of the epiglottis and inducing a cough reflex. These patients were successfully treated with an in-office modified uvulopalatoplasty procedure (mUPP) at our institution. We aim to further categorize this subset of patients and describe the mUPP that can potentially offer this group of patients cure for their chronic cough. Study Design: Institutional Review Board-approved retrospective chart review. Methods: Patient demographics, medical history, associated symptoms, prior treatment remedies, and response to mUPP were recorded and analyzed for 30 patients who underwent an in-office mUPP. Results: The majority of patients were middle-aged, nonsmoking females with symptoms of globus sensation and a gag reflex when lying supine. 96.7% of patients reported complete resolution or noticeable improvement of their cough following mUPP. There were no complications from this in-office procedure in our study. Conclusions: The authors' main goals are to make other physicians aware of this under-recognized subset of patients with chronic cough who have an identifiable and treatable cause for their symptoms and to provide the steps of a simple and effective surgical solution to chronic cough in this group of patients.
AB - Objective: A subset of patients previously diagnosed with idiopathic chronic cough were found to have an elongated uvula contacting the laryngeal surface of the epiglottis and inducing a cough reflex. These patients were successfully treated with an in-office modified uvulopalatoplasty procedure (mUPP) at our institution. We aim to further categorize this subset of patients and describe the mUPP that can potentially offer this group of patients cure for their chronic cough. Study Design: Institutional Review Board-approved retrospective chart review. Methods: Patient demographics, medical history, associated symptoms, prior treatment remedies, and response to mUPP were recorded and analyzed for 30 patients who underwent an in-office mUPP. Results: The majority of patients were middle-aged, nonsmoking females with symptoms of globus sensation and a gag reflex when lying supine. 96.7% of patients reported complete resolution or noticeable improvement of their cough following mUPP. There were no complications from this in-office procedure in our study. Conclusions: The authors' main goals are to make other physicians aware of this under-recognized subset of patients with chronic cough who have an identifiable and treatable cause for their symptoms and to provide the steps of a simple and effective surgical solution to chronic cough in this group of patients.
KW - Chronic cough
KW - Chronic cough adults
KW - Chronic cough management
KW - Chronic cough otorhinolaryngology
KW - Chronic cough treatment
KW - Cough
KW - Elongated uvula
KW - Uvula
UR - http://www.scopus.com/inward/record.url?scp=84964031666&partnerID=8YFLogxK
U2 - 10.1177/0003489415613800
DO - 10.1177/0003489415613800
M3 - Article
C2 - 26543075
AN - SCOPUS:84964031666
SN - 0003-4894
VL - 125
SP - 325
EP - 330
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
IS - 4
ER -