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Chronic cough is a significant medical problem worldwide. The onset is often unknown and the
number of treatments tried is often directed at problemsof the nasopharynx or gastroenterological
system. The larynx is often overlooked.Non-pulmonary chronic cough may be diagnosed in patients
who complain of shortness of breath, choking, and voice disorders. When the larynx is examined,
clinicians may observe a normal larynx, inflammation, and/or the presence of paradoxical vocal fold
motion. The complaints by the patients may be attributed to clinical observations or they may range
from dysphagia, post nasal drip or gastroesophageal reflux disease. Factors such as duration of the
condition, time line of which symptom actually came first, and co-occurrence of other conditions make
the diagnosis and the treatment a challenge. These factors may include neurological changes, post nasal
drip, upper respiratory infections or pulmonary disease. In most cases, the true cause of chronic cough
is never identified. Moreover, without a definitive diagnosis, treatment often fails and the patient is left to
seek other options or even just simply they live with it. In many cases, patients report partial resolution
of the problem and stop seeking treatment. In others, medications help to diminish the problem and the
patient is satisfied with partial resolution. All too often, these medications offer short term help but after
a period of time the symptoms return. The purpose of the present study was to assess laryngeal function
in patients with unresolved chronic cough despite being previously treated.
Biography
Dr. Thomas Murry is Professor of Speech Pathology in Otolaryngology, Department of Otolaryngology, Weill Cor
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nell Medical College. He completed his Ph.D. and post-doctoral research fellowship at the University of Florida. Dr. Murry
has distinguished himself as a clinician, scientist, and educator in the areas of voice disorders. His research in voice sci
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ence encompasses neurolaryngology, outcomes of treatment of singers, performer?s voice disorders, and outcomes of
multi-specialty treatments for voice and swallowing problems. Dr. Murry has published over 130 peer-reviewed articles
on voice and swallowing in peer-reviewed journals and has presented over 500 lectures at conferences in the United
States and throughout the world.
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