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Superior laryngeal nerve block for neurogenic cough: A case series

OBJECTIVES: To demonstrate that an in‐office superior laryngeal nerve (SLN) block with lidocaine and steroids is an effective alternative to neuromodulators for patients with neurogenic cough. STUDY DESIGN: Retrospective study. METHODS: A retrospective review of 10 patients who underwent in office n...

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Autor principal: Dhillon, Vaninder K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703134/
https://www.ncbi.nlm.nih.gov/pubmed/31453350
http://dx.doi.org/10.1002/lio2.292
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author Dhillon, Vaninder K.
author_facet Dhillon, Vaninder K.
author_sort Dhillon, Vaninder K.
collection PubMed
description OBJECTIVES: To demonstrate that an in‐office superior laryngeal nerve (SLN) block with lidocaine and steroids is an effective alternative to neuromodulators for patients with neurogenic cough. STUDY DESIGN: Retrospective study. METHODS: A retrospective review of 10 patients who underwent in office nerve block to the laryngeal nerve (SLN) for neurogenic cough. Demographic data and pre‐ and postcough survey index are the measure outcomes. Follow‐up was 3–6 months. RESULTS: We find that all patients in this study that underwent an SLN block showed significant improvement in cough severity index (CSI). The average number of blocks was 2.3. The mean follow‐up time from the first SLN block is 3.4 months. The mean CSI improvement 16.30. 95% confidence interval, 11.44–21.16; P < .0001. All patients in this study completed at least one session of cough suppression therapy with speech language pathology (SLP). No patients were on neuromodulators at the time of the SLN block. CONCLUSIONS: There is a role for in‐office SLN block with lidocaine and steroids for patients with neurogenic cough, and can be an effective alternative to neuromodulators. LEVEL OF EVIDENCE: NA
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spelling pubmed-67031342019-08-26 Superior laryngeal nerve block for neurogenic cough: A case series Dhillon, Vaninder K. Laryngoscope Investig Otolaryngol Laryngology, Speech and Language Science OBJECTIVES: To demonstrate that an in‐office superior laryngeal nerve (SLN) block with lidocaine and steroids is an effective alternative to neuromodulators for patients with neurogenic cough. STUDY DESIGN: Retrospective study. METHODS: A retrospective review of 10 patients who underwent in office nerve block to the laryngeal nerve (SLN) for neurogenic cough. Demographic data and pre‐ and postcough survey index are the measure outcomes. Follow‐up was 3–6 months. RESULTS: We find that all patients in this study that underwent an SLN block showed significant improvement in cough severity index (CSI). The average number of blocks was 2.3. The mean follow‐up time from the first SLN block is 3.4 months. The mean CSI improvement 16.30. 95% confidence interval, 11.44–21.16; P < .0001. All patients in this study completed at least one session of cough suppression therapy with speech language pathology (SLP). No patients were on neuromodulators at the time of the SLN block. CONCLUSIONS: There is a role for in‐office SLN block with lidocaine and steroids for patients with neurogenic cough, and can be an effective alternative to neuromodulators. LEVEL OF EVIDENCE: NA John Wiley & Sons, Inc. 2019-07-05 /pmc/articles/PMC6703134/ /pubmed/31453350 http://dx.doi.org/10.1002/lio2.292 Text en © 2019 The Author. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals, Inc. on behalf of The Triological Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Laryngology, Speech and Language Science
Dhillon, Vaninder K.
Superior laryngeal nerve block for neurogenic cough: A case series
title Superior laryngeal nerve block for neurogenic cough: A case series
title_full Superior laryngeal nerve block for neurogenic cough: A case series
title_fullStr Superior laryngeal nerve block for neurogenic cough: A case series
title_full_unstemmed Superior laryngeal nerve block for neurogenic cough: A case series
title_short Superior laryngeal nerve block for neurogenic cough: A case series
title_sort superior laryngeal nerve block for neurogenic cough: a case series
topic Laryngology, Speech and Language Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703134/
https://www.ncbi.nlm.nih.gov/pubmed/31453350
http://dx.doi.org/10.1002/lio2.292
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