Mechanical stimulation of the auricular branch of the vagus nerve (Arnold nerve) in the posterior medial external auditory canal and tympanic membrane can elicit a cough via the ear-cough reflex (Figure).1-4 We present a unique case of intractable cough after bilateral tympanostomy tube placement, which resolved after tube removal.
Juergens C, Powitzky R. Intractable Cough After Bilateral Tympanostomy Tube Placement. JAMA Otolaryngol Head Neck Surg. 2020;146(1):79–81. doi:10.1001/jamaoto.2019.3164
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