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Pediatric Otolaryngology

Evaluation and Management of Pediatric Chronic Cough

Wednesday, October 4, 2023
8:00 AM - 9:00 AM East Coast USA Time
Location: 208AB

    Moderator(s)

  • SA

    Swathi Appachi, MD

    Assistant Professor
    Cleveland Clinic
    Cleveland, OH, United States

    • Panelist(s)

  • JO

    Julina Ongkasuwan, MD

    Professor
    Baylor College of Medicine
    Houston, TX, United States

  • Catherine K. Hart, MD

    Professor Pediatric Otolaryngology Head & Neck Surgery
    Cincinnati Children's Hospital
    Cincinnati, OH, United States

  • Sarah A. Gitomer, MD

    Assistant Professor
    Department of Pediatric Otolaryngology, Children’s Hospital Colorado Colorado; Department of Otolaryngology - Head and Neck Surgery, University of Colorado School of Medicine
    AURORA, CO, United States

Disclosure(s):
Swathi Appachi, MD: No relevant relationships to disclose.
Catherine K. Hart, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Chronic cough, or cough persisting for more than four weeks, is a common chief complaint in the pediatric population. Prevalence in school aged-children is as high as 10.4%. It can be a significant source of both patient and parental stress. From school to sleep, it can also substantially impact quality of life for this patient population. Diagnosis and management of pediatric cough differs from that of adult cough and affected children are often referred to multiple sub-specialties, including pulmonology, gastroenterology, and otolaryngology. There are many potential causes for this disease entity, including asthma, chronic rhinosinusitis, irritable larynx, and reflux. Workup, including imaging and endoscopy, can be extensive and invasive, and management strategies vary widely and can include surgical intervention. This panel aims to provide pediatric and comprehensive otolaryngologists with strategies to help evaluate and treat this patient population. Panelists will discuss current literature, provide insight on the utility of in-office laryngoscopy and operative intervention, and offer algorithms for management. Panelists include a dual-fellowship trained pediatric otolaryngologist and laryngologist with a clinical focus on pediatric laryngeal disorders, a pediatric otolaryngologist who specializes in airway and sinus disorders, and a pediatric airway surgeon who specializes in treatment of complex airway disorders.

OUTCOME OBJECTIVE 1: Define tools and approaches an otolaryngologist can use to diagnose and manage potential causes of pediatric chronic cough

OUTCOME OBJECTIVE 2: Analyze effectiveness of current otolaryngologic treatment strategies for chronic cough

OUTCOME OBJECTIVE 3: Develop a pediatric chronic cough management algorithm for all otolaryngologists

BACKGROUND STATEMENT: Need to review effective diagnosis and management strategies for pediatric chronic cough, a common yet burdensome and difficult-to-treat entity.