Importance of laryngologic examination in chronic cough

Year 2014, Volume: 24 Issue: 5, 276 - 282, 15.10.2014

Arzu Tüzüner Şule Demirci Gülden Bilgin Filiz Aydoğan Ali Çağlı Kürşat Murat Özcan Ethem Erdal Samim

Abstract

Objectives: This study aims to investigate the distribution of etiologic factors related to otorhinolaryngology in chronic cough patients with normal lung examination and spirometric findings, and also highlight the importance of videolaryngostroboscopic VLS examination with these patients. Patients and Methods: Seventy-six patients 31 males, 45 females; mean age 48.0±15.5 years; range 18 to 83 year who applied to pulmonology outpatient clinic with cough complaint for more than two months were included in the study. After being evaluated by a pulmonologist, patients were referred to otolaryngology outpatient clinic. To detect the underlying cause of cough, patients’ detailed histories, and flexible fiberoptic endoscopy and VLS findings were reviewed. Reflux symptom index RSI was used for the diagnosis of gastroesophageal reflux. Results: In RSI ≥13 group, posterior commissure edema was detected in 12 patients 42.9% , and posterior commissure hyperemia was detected in four patients 14.3% . These findings were statistically significantly higher than RSI <13 group p=0.006 and p=0.016, respectively . No significant difference was present between the group of patients with allergic rhinitis and the group of patients without allergic rhinitis in terms of VLS findings. Mucopurulent secretion rate in posterior commissure in patients with acute sinusitis findings was statistically higher than patients without acute sinusitis findings p<0.001 . Conclusion: Chronic cough is a common symptom of many different diseases. Therefore, a multidisciplinary approach is important for diagnosis. Videolaryngostroboscopy is a valuable examination tool in the differential diagnosis of gastroesophageal reflux and acute sinusitis.

Keywords

Chronic cough, gastroesophageal reflux, acute sinusitis, videolaryngostroboscopy

Kronik öksürükte larengolojik muayenenin önemi

Abstract

Amaç: Bu çalışmada akciğer muayenesi ve spirometrik bulguları normal olan kronik öksürük hastalarında otorinolarengoloji ile ilişkili etyolojik nedenlerin dağılımı araştırıldı ve bu hastalarda videolarengostroboskopik VLS muayenenin önemi vurgulandı.Hastalar ve Yöntemler: İki aydan uzun süren öksürük yakınmasıyla göğüs hastalıkları polikliniğine başvuran 76 hasta 31 erkek 45 kadın; ort. yaş 48.0±15.5 yıl; dağılım 18-83 yıl çalışmaya dahil edildi. Hastalar göğüs hastalıkları uzmanı tarafından değerlendirildikten sonra kulak burun boğaz polikliniğine yönlendirildi. Öksürüğün altta yatan nedenini tespit etmek için hastaların detaylı öyküleri, fleksibl fiberoptik endoskopi ve VLS bulguları incelendi. Gastroözofageal reflü tanısında reflü semptom indeksi RSİ kullanıldı.Bulgular: Reflü semptom indeksi ≥13 olan grupta, 12 hastada %42.9 posterior komissür ödemi, dört hastada %14.3 posterior komissür hiperemisi saptandı. Bu bulgular, RSİ

Keywords

Kronik öksürük, gastroözofageal reflü, akut sinüzit, videolarengostroboskopi

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