Nausheen Jamal
Sessions
- Background: Chronic cough remains a challenging condition, especially in cases where it persists despite comprehensive medical management.
- Objectives: Understand the multitude of etiologies that can contribute to chronic cough.
- Methods: Review a comprehensive, multi-disciplinary approach to chronic cough work-up and management.
- Results: Identify a workflow algorithm to ensure that no “red flag” diagnoses are missed, and recognize when to involve colleagues in pulmonology, allergy, gastroenterology, and speech language pathology.
- Conclusion: Multidisciplinary work-up and management is key when it comes to chronic cough. Behavioral therapy may be underutilized in practice and could lead to improvement of otherwise recalcitrant cough.
This panel will provide an update on the latest advances in treating chronic cough from the laryngology delegation of the American Academy of Otolaryngology-Head & Neck Surgery.
Our first set of objectives with focus on discussing interdisciplinary approaches, medical/pharmacologic management, and the behavioral therapy for treating chronic cough. We will discuss how to best implement these treatment strategies and how to avoid common pitfalls.
Our second set of objectives will deal with discussing current interventions we utilize to treat chronic cough. These will include vocal fold medialization and the superior laryngeal nerve block. We will discuss expanding indications, technical optimization, and expected outcomes of each treatment.
Our third and final set of objectives will focus on discussing novel innovations in treating chronic cough. We will discuss cough desensitization therapy, vibrotactile stimulation, and selective laryngeal cryotherapy of the supraglottis.
- Background: With increases in survivorship for patients with head and neck cancer, attention is turning to quality-of-life issues for survivors. Care for these patients is multifaceted.
- Objectives: Dysphagia and issues of voice/speech, airway obstruction, neck and shoulder dysfunction, lymphedema, and pain control are important to address.
- Methods: Rehabilitation interventions are patient-specific and aim to prevent, restore, compensate, and palliate symptoms and sequelae of treatment for optimal functioning.
- Results: Central to providing comprehensive interdisciplinary care are the head and neck surgeon, laryngologist, and speech-language pathologist.
- Conclusion: Routine functional assessment, long-term follow-up, and regular communication and coordination among these specialists help maximize quality of life in this challenging patient population.