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October 24, 2019

Intractable Cough After Bilateral Tympanostomy Tube Placement

Author Affiliations
  • 1Baylor Scott & White Health Medical Center, Temple, Texas
  • 2Division of Otolaryngology, Department of Surgery, Texas A&M Health Science Center, Bryan, Texas
JAMA Otolaryngol Head Neck Surg. Published online October 24, 2019. doi:https://doi.org/10.1001/jamaoto.2019.3164

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.