Dhillon Vaninder K
Division of Laryngology, Department of Head and Neck Surgery Johns Hopkins University Bethesda Maryland U.S.A.
Laryngoscope Investig Otolaryngol. 2019 Jul 5;4(4):410-413. doi: 10.1002/lio2.292. eCollection 2019 Aug.
To demonstrate that an in-office superior laryngeal nerve (SLN) block with lidocaine and steroids is an effective alternative to neuromodulators for patients with neurogenic cough.
Retrospective study.
A retrospective review of 10 patients who underwent in office nerve block to the laryngeal nerve (SLN) for neurogenic cough. Demographic data and pre- and postcough survey index are the measure outcomes. Follow-up was 3-6 months.
We find that all patients in this study that underwent an SLN block showed significant improvement in cough severity index (CSI). The average number of blocks was 2.3. The mean follow-up time from the first SLN block is 3.4 months. The mean CSI improvement 16.30. 95% confidence interval, 11.44-21.16; < .0001. All patients in this study completed at least one session of cough suppression therapy with speech language pathology (SLP). No patients were on neuromodulators at the time of the SLN block.
There is a role for in-office SLN block with lidocaine and steroids for patients with neurogenic cough, and can be an effective alternative to neuromodulators.
NA.
证明利多卡因和类固醇的门诊喉上神经（SLN）阻滞是神经源性咳嗽患者神经调节剂的有效替代方法。
回顾性研究。
回顾性分析10例因神经源性咳嗽接受门诊喉上神经阻滞的患者。人口统计学数据以及咳嗽前后的调查指标为测量结果。随访时间为3至6个月。
我们发现本研究中所有接受SLN阻滞的患者咳嗽严重程度指数（CSI）均有显著改善。平均阻滞次数为2.3次。首次SLN阻滞的平均随访时间为3.4个月。CSI平均改善16.30。95%置信区间为11.44 - 21.16；P < 0.0001。本研究中的所有患者均至少完成了一次言语语言病理学（SLP）咳嗽抑制治疗。在进行SLN阻滞时，没有患者使用神经调节剂。
利多卡因和类固醇的门诊SLN阻滞对神经源性咳嗽患者有作用，并且可以成为神经调节剂的有效替代方法。
无。
