Skip to main content
AAO-HNSF 2023 Annual Meeting & OTO Experience Main banner
Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.

Rhinology/Allergy

Chronic Cough: Addressing Multifactorial Sources

Monday, October 2, 2023
5:00 PM - 6:00 PM East Coast USA Time
Location: 102AB

    Moderator(s)

  • Angela M. Donaldson, MD

    Assistant Professor of Otolaryngology I Rhinology and Anterior Skull Base
    Mayo Clinic in Florida
    Jacksonville, FL, United States

    • Panelist(s)

  • Elina M. Toskala, MD, PhD, MBA

    Professor, Vice Chair
    Thomas Jefferson University
    Philadelphia, PA, United States

  • JH

    Joseph K. Han, MD

    Chief, Division of Rhinology and Endoscopic Sinus-Skull Base Surgery; Chief, Division of Allergy
    Eastern Virginia Medical School
    Virginia Beach, VA, United States

  • Jonathan M. Bock, MD

    Professor
    Froedtert & Medical College of Wisconsin
    Milwaukee, WI, United States

Disclosure(s):
Joseph K. Han, MD: No relevant relationships to disclose.
Jonathan M. Bock, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Chronic cough can be a debilitating condition with a significant impact on quality of life. It is commonly defined as symptoms present for greater than 8 weeks in adults and 4 weeks in children. Its prevalence is approximately 11% in the United States and one-fifth of these patients also have a diagnosis of chronic rhinosinusitis. For otolaryngologist, it can be one of the most daunting diagnosis to treat. There are no standardized guidelines for the work-up of chronic cough and decision-making on a treatment regimen is complicated by the fact that many of these patients have multiple causes of cough, including asthma, gastro-esophageal reflux, obesity, chronic bronchitis, COPD, heart failure, and medication side effects. Determining which of these disease processes are contributing to the cough is a challenge to most otolaryngologist. In this multi-disciplinary panel, we will use interactive case presentations to discuss the workup, treatment algorithms, and various medical therapies to address these difficult patients. This presentation will discuss practical tips to use when deciding to proceed with surgery versus medical therapy, in the setting of chronic rhinosinusitis or abnormal imaging studies. This panel will focus on more complex patient presentations with one or more causes of cough. Our panelists will describe how they implemented a cough clinic into their practice and tips for patient selection. Lastly, the experts will discuss new medication interventions, such as gefapixant, that may change the way we treat chronic cough.

OUTCOME OBJECTIVE 1: List workup, exam findings, imaging, and labs for different phenotypes of cough.

OUTCOME OBJECTIVE 2: Identify ways new therapies may be implemented in the treatment of chronic cough.

OUTCOME OBJECTIVE 3: Apply treatment algorithms used by specialty experts to help manage complex multi-factorial chronic cough.

BACKGROUND STATEMENT: Chronic cough can be challenging to treat especially when there is a multifactorial etiology. We will discuss algorithms for workup and current treatments, as well as new treatment options.