WASHINGTON—Leading otolaryngologists gathered here to talk about a problem that affects countless patients around the world but that, traditionally, the ENT community has not had a major role in treating: chronic cough.
Explore this issue:October 2012
Panelists at a session of the 2012 Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery, held here Sept. 9–12, talked about the multitude of factors that can lead to chronic cough, the approaches they take in getting to the root of the problem, the importance of recognizing how each part of the airway affects the others and the role of laryngopharyngeal reflux (LPR). “Cough is really a worldwide problem,” said panel moderator Kenneth Altman, MD, PhD, director of the Eugen Grabscheid MD Voice Center at Mount Sinai Hospital in New York. Estimates vary, but chronic cough has been found to affect 9 to 33 percent of people.
Patients with cough are grouped into three categories. Those with acute cough have had symptoms for three or fewer weeks, often due to a viral upper respiratory infection. Subacute cough lasts from three to eight weeks and is generally post-infection—for instance, when sinusitis has resolved but there is still inflammatory post-nasal drip. Chronic cough lasts more than eight weeks, and it’s the most challenging form of cough for doctors. “[It] really involves a large spectrum of disease, and this is very important for the complexity of the problem,” said Dr. Altman.