PMID- 26543075
OWN - NLM
STAT- MEDLINE
DCOM- 20160808
LR  - 20160311
IS  - 1943-572X (Electronic)
IS  - 0003-4894 (Linking)
VI  - 125
IP  - 4
DP  - 2016 Apr
TI  - Elongated Uvula Causing Chronic Cough: Role of the Modified Uvulopalatoplasty 
      Procedure.
PG  - 325-30
LID - 10.1177/0003489415613800 [doi]
AB  - OBJECTIVE: A subset of patients previously diagnosed with idiopathic chronic 
      cough were found to have an elongated uvula contacting the laryngeal surface of 
      the epiglottis and inducing a cough reflex. These patients were successfully 
      treated with an in-office modified uvulopalatoplasty procedure (mUPP) at our 
      institution. We aim to further categorize this subset of patients and describe 
      the mUPP that can potentially offer this group of patients cure for their chronic 
      cough. STUDY DESIGN: Institutional Review Board-approved retrospective chart 
      review. METHODS: Patient demographics, medical history, associated symptoms, 
      prior treatment remedies, and response to mUPP were recorded and analyzed for 30 
      patients who underwent an in-office mUPP. RESULTS: The majority of patients were 
      middle-aged, nonsmoking females with symptoms of globus sensation and a gag 
      reflex when lying supine. 96.7% of patients reported complete resolution or 
      noticeable improvement of their cough following mUPP. There were no complications 
      from this in-office procedure in our study. CONCLUSIONS: The authors' main goals 
      are to make other physicians aware of this under-recognized subset of patients 
      with chronic cough who have an identifiable and treatable cause for their 
      symptoms and to provide the steps of a simple and effective surgical solution to 
      chronic cough in this group of patients.
CI  - (c) The Author(s) 2015.
FAU - Loftus, Patricia A
AU  - Loftus PA
AD  - Department of Otolaryngology-Head and Neck Surgery, Albert Einstein College of 
      Medicine/Montefiore Medical Center, Bronx, New York, USA 
      Patricia.anne.loftus@gmail.com.
FAU - Stegnjajic, Arsen
AU  - Stegnjajic A
AD  - Department of Otolaryngology-Head and Neck Surgery, Albert Einstein College of 
      Medicine/Montefiore Medical Center, Bronx, New York, USA.
FAU - Tibbetts, Kathleen M
AU  - Tibbetts KM
AD  - Department of Otolaryngology-Head and Neck Surgery, Albert Einstein College of 
      Medicine/Montefiore Medical Center, Bronx, New York, USA.
FAU - Badhey, Arvind K
AU  - Badhey AK
AD  - Department of Otolaryngology-Head and Neck Surgery, Albert Einstein College of 
      Medicine/Montefiore Medical Center, Bronx, New York, USA.
FAU - Glicksman, Jeffrey
AU  - Glicksman J
AD  - Department of Otolaryngology-Head and Neck Surgery, Albert Einstein College of 
      Medicine/Montefiore Medical Center, Bronx, New York, USA.
LA  - eng
PT  - Journal Article
DEP - 20151105
PL  - United States
TA  - Ann Otol Rhinol Laryngol
JT  - The Annals of otology, rhinology, and laryngology
JID - 0407300
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Chronic Disease
MH  - Cohort Studies
MH  - Cough/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Otorhinolaryngologic Surgical Procedures/*methods
MH  - Palate, Soft/surgery
MH  - Retrospective Studies
MH  - Uvula/abnormalities/*surgery
MH  - Young Adult
OTO - NOTNLM
OT  - chronic cough
OT  - chronic cough adults
OT  - chronic cough management
OT  - chronic cough otorhinolaryngology
OT  - chronic cough treatment
OT  - cough
OT  - elongated uvula
OT  - uvula
EDAT- 2015/11/07 06:00
MHDA- 2016/08/09 06:00
CRDT- 2015/11/07 06:00
PHST- 2015/11/07 06:00 [entrez]
PHST- 2015/11/07 06:00 [pubmed]
PHST- 2016/08/09 06:00 [medline]
AID - 0003489415613800 [pii]
AID - 10.1177/0003489415613800 [doi]
PST - ppublish
SO  - Ann Otol Rhinol Laryngol. 2016 Apr;125(4):325-30. doi: 10.1177/0003489415613800. 
      Epub 2015 Nov 5.