Injection Augmentation for Chronic Cough

Journal of Voice : Official Journal of the Voice Foundation
Brianna K CrawleyLucian Sulica

Abstract

Chronic cough (CC) is a pervasive and expensive health problem in the United States. Almost as diverse as its etiologies are the available therapeutic options. When vocal fold paresis and CC coincide, injection augmentation may provide an alternative to standard medical and behavioral treatments for CC. Our objective was to assess the effect of injection augmentation in a selected group of patients with CC who had failed multiple medical and behavioral treatments. The study design is a retrospective case review. Our study group included six subjects (1 male and 5 females; aged 24-84 y) who presented for laryngologic evaluation with a chief complaint of CC unresponsive to conventional medical and behavioral management. The cough severity index (CSI), reflux symptom index (RSI), dyspnea severity index (DSI), and voice handicap index-10 (VHI-10), as well as subjective evaluation were assessed before and after the injection augmentation of the vocal folds was undertaken. Five of six patients reported subjective improvement in cough. CSI scores improved in all six (average change 7.3, range 2-13). RSI and DSI scores also improved significantly after injection, whereas VHI-10 scores did not significantly change. One patient reported ...Continue Reading

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Citations

Apr 19, 2018·The Laryngoscope·C Blake SimpsonLaura M Dominguez
Aug 28, 2019·Laryngoscope Investigative Otolaryngology·Vaninder K Dhillon
Aug 8, 2018·Journal of Voice : Official Journal of the Voice Foundation·Lawrence F BorgesThomas L Carroll
Dec 30, 2020·Journal of Gastroenterology and Hepatology·Daniel R SikaviWalter W Chan
Apr 25, 2021·The Laryngoscope·James R DuffyDaniel S Fink
Jun 25, 2021·The Laryngoscope·Donn LaTourThomas Murry

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