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A Source of the Cough Reflex

Allan P. Wolff, MD; Mark May, MD; Douglas Nuelle

JAMA. 1973;223(11):1269.

Abstract
A cough can be caused by a hair lying against the tympanic membrane. To the best of our knowledge, this is documented for the first time by our report of three patients with chronic cough who experienced relief after a hair was removed from the ear drum. The explanation for this observation is based on a protective reflex mediated through afferent vagal nerve fibers.

Author Affiliations
From the Department of Otolaryngology, Washington University School of Medicine, St. Louis.

Footnotes
Reprint requests to 517 S Euclid, St. Louis 63110 (Dr. Wolff).

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