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Aerodigestive Approach to Pediatric Chronic Cough

Zi Yang Jiang1, Chelsea Gatcliffe2, Tu Mai3

  • 1Department of Otorhinolaryngology - Head and Neck Surgery, University of Texas Health Science Center at Houston, 6431 Fannin MSB 5.036, Houston, TX 77030, USA.

Otolaryngologic Clinics of North America
|November 12, 2022
PubMed

Insights

Chronic cough, lasting over four weeks in children 14+, requires a multidisciplinary aerodigestive team approach. This team coordinates diagnosis and treatment for specific and nonspecific cough types.

Area of Science:

  • Pediatric Pulmonology
  • Otolaryngology
  • Gastroenterology

Background:

  • Chronic cough is defined as a cough lasting more than four weeks in children aged 14 years or older.
  • Normal children may cough up to 30 times daily; pathological cough is more frequent.
  • Pathological cough is categorized into specific and nonspecific types.

Purpose of the Study:

  • To highlight the importance of a multidisciplinary team approach in managing chronic cough in children.
  • To emphasize the coordination of diagnostic procedures and treatment strategies.

Main Methods:

  • Utilizing input from otolaryngology, pulmonary medicine, and gastroenterology.
  • Implementing an aerodigestive team setting for comprehensive patient evaluation.
  • Coordinating diagnostic procedures and treatment plans.

Main Results:

  • A team approach allows consideration of a wide variety of cough causes.
  • Integrated specialty input facilitates coordinated diagnostic and treatment pathways.

Conclusions:

  • A collaborative aerodigestive team approach is essential for effectively managing chronic cough in pediatric patients.
  • Multidisciplinary input ensures comprehensive evaluation and tailored treatment for diverse cough etiologies.

Keywords:
AerodigestiveChronic coughLaryngeal cleftNonspecific coughProtracted bacterial bronchitisPsychogenic coughSpecific coughUpper airway cough syndrome

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