Chronic cough and ear wax

Jégoux, Franck; Legent, F; Montreuil, C Beauvillain de

doi:10.1016/s0140-6736(02)09786-6

Cited by 32 publications

(17 citation statements)

References 4 publications

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“…Irritation of the external auditory canal by impacted foreign bodies or cerumen is another unusual cause of chronic dry cough [33]. The etiology of the ‘ear-cough’ (or oto-respiratory) reflex is related to stimulation of the auricular branch of the vagus nerve (Arnold's nerve) [34,35].…”

Section: Reviewmentioning

confidence: 99%

Anatomy and neuro-pathophysiology of the cough reflex arc

Polverino¹,

Polverino

Fasolino

et al. 2012

Multidiscip Respir Med

130

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Coughing is an important defensive reflex that occurs through the stimulation of a complex reflex arc. It accounts for a significant number of consultations both at the level of general practitioner and of respiratory specialists. In this review we first analyze the cough reflex under normal conditions; then we analyze the anatomy and the neuro-pathophysiology of the cough reflex arc. The aim of this review is to provide the anatomic and pathophysiologic elements of evaluation of the complex and multiple etiologies of cough.

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Section: Reviewmentioning

confidence: 99%

Anatomy and neuro-pathophysiology of the cough reflex arc

Polverino¹,

Polverino

Fasolino

et al. 2012

Multidiscip Respir Med

130

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“…A cada elemento se le asigna un puntaje de 0 a 5 Es por esto, que no debemos olvidar realizar la otoscopía, aun cuando el motivo de consulta sea tos 46 . La hipertrofia de amígdala lingual suele ser una condición asintomática.…”

Section: Tabla 3 Indicadores De La Escala Snot-20 Validada Al Españunclassified

Tos en otorrinolaringología: Revisión actualizada del enfoque clínico

Jofré

García

2017

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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RESUMEN La tos ocurre por la compleja acción del arco de la tos. En condiciones normales es ABSTRACT Cough occurs due to the complex action of the coughing arch. Under normal conditions it is essential to protect the airway. It is a very frequent symptom with a large of possible etiologies.The diagnosis process of patients with chronic cough can be a challenge. The most prevalent pathologies must be considered. Thus includes pharyngolaryngeal reflux and posterior discharge: both conditions that are part of the otorhinolaryngolocical area.In the present article review, we pretend to provide an updated approach and management to this condition, in order to asses relevant information to daily clinical practice.

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“…The skin of the deeper parts (usually posterior and inferior) of the meatus is innervated by Arnold's nerve, which is the auricular branch of the facial nerve (CN VII). It is this supply that is responsible for the generation of a ticklish cough when stimulated [20,52].…”

Section: Innervation To the Auricle And External Ear Canalmentioning

confidence: 99%

The vagaries of ear temperature assessment

McCarthy

Heusch

2006

Journal of Medical Engineering & Technology

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There have been a growing number of reports suggesting that ear temperature measurement is unreliable and by implication so is the device. Examination of the measurement site, the tympanic membrane (eardrum) and the walls of the external auditory meatus (ear canal) reveals that at least some of the unreliability might derive from poor aiming of the infrared thermometer: the ear canal walls have a lower temperature than the eardrum. Additionally, anatomical properties of the ear canal may increase the difficulty of aiming the thermometer at the eardrum. Furthermore, the rich vascularization, innervation and variations in skin properties (thickness, oil secretion and hair) along the length of the ear canal affect the black body-like nature of the structure. It is concluded that such factors are more likely underlying reasons for the difficulties in reliably reproducing temperatures from this site. We conclude that concerns should extend beyond the reliability of the device and there should be greater study of the measurement site. The argument extends to all sites chosen for clinical assessment of the patient, as previous studies of the alternative temperature measurement sites are also unfortunately few and tend to be lacking in scientific rigour.

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Chronic cough and ear wax

Cited by 32 publications

References 4 publications

Anatomy and neuro-pathophysiology of the cough reflex arc

Anatomy and neuro-pathophysiology of the cough reflex arc

Tos en otorrinolaringología: Revisión actualizada del enfoque clínico

The vagaries of ear temperature assessment

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