title: Management of a rare case of arytenoid mucosa oedema inducing stridor and cough.
abstract: OBJECTIVE
  Current guidelines recommend a multidisciplinary systematic integrated approach to patient with chronic cough in which nowadays otolaryngologists play an increasingly valuable role as new procedures are used for evaluation and treatment. Surgery has been never taken into consideration to treat refractory chronic cough.
  
  
  METHODS
  We present a rare case of arytenoid mucosa oedema inducing stridor and cough, lasting 8 months, that critically affected the quality of life of a 15-year-old adolescent arrived to our emergency department with prominent arytenoid oedema causing paroxysmal cough and laryngeal stridor and that was successfully treated by laryngeal debridement.
  
  
  RESULTS
  In this case report we observed that prominent swelling of arytenoid mucosa might sustain a vicious cycle of cough persistence and that laryngeal surgical debridement might interrupt it resolving the particular clinical condition.
  
  
  CONCLUSIONS
  The description of this case could be of some help for clinicians to draw new insight about diagnosis and therapy of rare selected cases of chronic refractory cough.
authors.affiliation: Department of Head and Neck Surgery, Institute of Otorhinolaryngology, Catholic University of Medicine and Surgery, Rome, Italy. eugenio.decorso@tin.it
authors.forename: Eugenio
authors.initials: E
authors.lastname: De Corso
authors.forename: Manlio
authors.initials: M
authors.lastname: Pandolfini
authors.forename: Maripina
authors.initials: M
authors.lastname: Battista
authors.forename: Giacomo
authors.initials: G
authors.lastname: Della Marca
authors.forename: Emanuele
authors.initials: E
authors.lastname: Scarano
mesh_terms: D000293:Adolescent; D001193:Arytenoid Cartilage / Q000503:physiopathology*; D002908:Chronic Disease; D003371:Cough / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy; D003646:Debridement / Q000379:methods; D004487:Edema / Q000150:complications / Q000175:diagnosis; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007818:Laryngeal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D007828:Laryngoscopy / Q000379:methods*; D009061:Mouth Mucosa / Q000503:physiopathology / Q000601:surgery; D035583:Rare Diseases; D012135:Respiratory Sounds / Q000209:etiology / Q000503:physiopathology; D018570:Risk Assessment; D016896:Treatment Outcome
keywords: Arytenoids; Chronic cough; Laryngeal debridement; Laryngeal stridor; Paroxysmal cough