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  1. Article: State of the Art for Refractory Cough: Multidisciplinary Approach.

    Vertigan, Anne E

    Tuberculosis and respiratory diseases

    2023  Volume 86, Issue 4, Page(s) 264–271

    Abstract: Chronic cough is a common problem that can be refractory to medical treatment. Nonpharmaceutical management of chronic cough has an important role in well selected patients. This review article outlines the history of chronic cough management, current ... ...

    Abstract Chronic cough is a common problem that can be refractory to medical treatment. Nonpharmaceutical management of chronic cough has an important role in well selected patients. This review article outlines the history of chronic cough management, current approaches to speech pathology management of the condition and new modalities of nonpharmaceutical treatment. There is a need for further research into nonpharmaceutical options with well described randomised control trials.
    Language English
    Publishing date 2023-08-11
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2161256-0
    ISSN 1738-3536 ; 0378-0066
    ISSN 1738-3536 ; 0378-0066
    DOI 10.4046/trd.2023.0036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book: Speech pathology management of chronic refractory cough and related disorders

    Vertigan, Anne E. / Gibson, Peter G.

    2016  

    Author's details Anne E. Vertigan, Peter G. Gibson
    Language English
    Size xi, 257 Seiten, Illustrationen, Diagramme
    Publisher Compton Publishing
    Publishing place Oxford
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT019156167
    ISBN 978-1-909082-17-5 ; 9781909082540 ; 1-909082-17-1 ; 1909082546
    Database Catalogue ZB MED Medicine, Health

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  3. Article ; Online: Chronic cough: prevention is better than cure.

    Vertigan, Anne E

    The Lancet. Child & adolescent health

    2019  Volume 3, Issue 12, Page(s) 840–842

    MeSH term(s) Algorithms ; Child ; Chronic Disease ; Cough ; Humans ; Single-Blind Method
    Language English
    Publishing date 2019-10-18
    Publishing country England
    Document type Journal Article ; Comment
    ISSN 2352-4650
    ISSN (online) 2352-4650
    DOI 10.1016/S2352-4642(19)30322-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Somatic cough syndrome or psychogenic cough-what is the difference?

    Vertigan, Anne E

    Journal of thoracic disease

    2017  Volume 9, Issue 3, Page(s) 831–838

    Abstract: ... The ... ...

    Abstract The term
    Language English
    Publishing date 2017-04-27
    Publishing country China
    Document type Editorial
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd.2017.03.119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Myofunctional device use in oral care and swallowing: a protocol for a feasibility study in an aged care population.

    Shortland, Hollie-Ann L / Hewat, Sally / Webb, Gwendalyn / Vertigan, Anne E

    Pilot and feasibility studies

    2022  Volume 8, Issue 1, Page(s) 187

    Abstract: Background: Poor oral health is a known predictor of aspiration pneumonia in vulnerable populations such as the elderly and chronically ill and has been linked to systemic disease, morbidity, and mortality. Reduced oral health not only places ... ...

    Abstract Background: Poor oral health is a known predictor of aspiration pneumonia in vulnerable populations such as the elderly and chronically ill and has been linked to systemic disease, morbidity, and mortality. Reduced oral health not only places individuals at a greater risk of aspiration pneumonia but may result in pain or poorer dentition which can impact on mastication and swallowing. Consequences of this may include reduced oral intake, malnutrition, poorer health outcomes, and reduced quality of life. Few evidence-based protocols exist to manage oral care in aged care populations, and maintenance of good oral hygiene is difficult for nursing and care staff to facilitate. However, a recent literature review found that improvements in oral hygiene, oral behaviors, and swallowing, along with breathing and speech have been found to be associated with the use of myofunctional devices due to positive changes in orofacial functions such as lip seal, mastication, swallowing, and nasal breathing patterns. The primary aim of this study is to assess the feasibility of using a myofunctional device to improve oral care and swallowing function in an aged care population.
    Methods/design: This project is a feasibility study that involves a 5-week intervention for oral hygiene and dysphagia for residents >65 years old in an aged care setting. Feasibility will be determined by the acceptability of the intervention, study recruitment and retention, and adherence to the intervention. Feasibility testing will also include an evaluation of clinical outcome measures, and sensitivity to detect changes in oral health and swallowing in an aged care population.
    Discussion: The results of this trial will provide important information regarding the feasibility of utilizing a myofunctional device to improve oral care and dysphagia in elderly patients in an aged care facility. This knowledge will further guide and inform design of a larger trial or future research.
    Trial registration: This trial was registered August 10, 2021, with the Australian New Zealand Clinical Trials Registry and allocated the ACTRN: ACTRN12621001359820.
    Language English
    Publishing date 2022-08-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2809935-7
    ISSN 2055-5784
    ISSN 2055-5784
    DOI 10.1186/s40814-022-01148-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Impact of Functional Laryngoscopy on the Diagnosis of Laryngeal Hypersensitivity Syndromes.

    Vertigan, Anne E / Bone, Sarah L / Gibson, Peter G

    The journal of allergy and clinical immunology. In practice

    2021  Volume 10, Issue 2, Page(s) 597–601.e1

    Abstract: Background: Chronic cough and vocal cord dysfunction are manifestations of laryngeal hypersensitivity syndrome.: Objective: The aim of the study was to determine the clinical utility of functional transnasal laryngoscopy in patients with laryngeal ... ...

    Abstract Background: Chronic cough and vocal cord dysfunction are manifestations of laryngeal hypersensitivity syndrome.
    Objective: The aim of the study was to determine the clinical utility of functional transnasal laryngoscopy in patients with laryngeal hypersensitivity syndromes.
    Methods: This study was a prospective observational cross-sectional study design of 71 participants with laryngeal hypersensitivity syndrome referred for functional transnasal laryngoscopy. Participants had a clinical assessment with a speech pathologist after which a provisional diagnosis of chronic cough, suspected vocal cord dysfunction, suspected muscle tension dysphonia, or a combination was made. A laryngoscopy with provocation was performed and the diagnosis revised after which the provisional and revised diagnoses were compared.
    Results: The diagnosis changed in 67% of participants after laryngoscopy. Vocal cord dysfunction was diagnosed in an additional 17 cases when not expected clinically but discounted when suspected clinically in 12 participants. Muscle tension dysphonia was diagnosed in an additional 31 cases when not suspected clinically and not confirmed when suspected in 2.
    Conclusion: This study demonstrated that conditions such as muscle tension dysphonia and vocal cord dysfunction cannot be diagnosed based on symptoms alone. In addition to diagnostic accuracy, functional laryngoscopy enhances treatment planning and provides immediate feedback regarding laryngeal movement during respiration and phonation.
    MeSH term(s) Cross-Sectional Studies ; Dysphonia/diagnosis ; Humans ; Laryngoscopy ; Larynx ; Vocal Cord Dysfunction/diagnosis
    Language English
    Publishing date 2021-10-16
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 2843237-X
    ISSN 2213-2201 ; 2213-2198
    ISSN (online) 2213-2201
    ISSN 2213-2198
    DOI 10.1016/j.jaip.2021.10.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Laryngeal Dysfunction in Severe Asthma: A Cross-Sectional Observational Study.

    Vertigan, Anne E / Kapela, Sarah L / Gibson, Peter G

    The journal of allergy and clinical immunology. In practice

    2020  Volume 9, Issue 2, Page(s) 897–905

    Abstract: Background: Laryngeal disorders can contribute to disease burden in severe asthma yet the nature of laryngeal disorders in severe asthma is poorly understood.: Objective: The aim of this study was to examine laryngeal function in patients with severe ...

    Abstract Background: Laryngeal disorders can contribute to disease burden in severe asthma yet the nature of laryngeal disorders in severe asthma is poorly understood.
    Objective: The aim of this study was to examine laryngeal function in patients with severe asthma.
    Method: A cross-sectional observational study involving 97 participants compared laryngeal function in patients with severe asthma (n = 53) with patients with laryngeal disorders of vocal cord dysfunction/inducible laryngeal obstruction (n = 16) and muscle tension dysphonia (n = 14), and with healthy controls (n = 13). A pre-post pilot study of speech pathology intervention for laryngeal symptoms was then provided to 11 participants with severe asthma and laryngeal dysfunction.
    Results: Laryngeal dysfunction was common in severe asthma. The majority of participants with severe asthma (87%) had laryngeal dysfunction, which affected respiration, phonation, or both. Three distinct patterns of laryngeal dysfunction in severe asthma were identified: (1) phonatory laryngeal dysfunction, (2) respiratory laryngeal dysfunction, and (3) combined laryngeal dysfunction. Laryngeal hypersensitivity and impaired voice measures were common in severe asthma. Patient-reported outcome measures improved after therapy, and laryngeal dysfunction improved in 7 (64%) participants.
    Conclusion: Laryngeal dysfunction affects respiration and phonation in severe asthma. It requires identification and treatment to minimize its impact on asthma symptoms.
    MeSH term(s) Asthma/epidemiology ; Cross-Sectional Studies ; Dysphonia/epidemiology ; Humans ; Larynx ; Phonation ; Pilot Projects ; Vocal Cord Dysfunction/diagnosis ; Vocal Cord Dysfunction/epidemiology ; Vocal Cords
    Language English
    Publishing date 2020-10-01
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2843237-X
    ISSN 2213-2201 ; 2213-2198
    ISSN (online) 2213-2201
    ISSN 2213-2198
    DOI 10.1016/j.jaip.2020.09.034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Chronic cough in Vocal Cord Dysfunction: Description of a clinical entity.

    Vertigan, Anne E / Kapela, Sarah L / Gibson, Peter G

    Respiratory medicine

    2020  Volume 168, Page(s) 105990

    Abstract: Background and aim: Vocal Cord Dysfunction (VCD) and chronic cough (CC) are challenging conditions which lead to significant quality of life impairment. The underlying mechanisms are poorly understood, but laryngeal dysfunction may be common to both ... ...

    Abstract Background and aim: Vocal Cord Dysfunction (VCD) and chronic cough (CC) are challenging conditions which lead to significant quality of life impairment. The underlying mechanisms are poorly understood, but laryngeal dysfunction may be common to both conditions. The aim of this study was to determine the characteristics of cough in VCD and whether patients with cough have coexisting VCD.
    Method: Participants included 51 patients with VCD and a comparison group of 39 patients with chronic cough that was refractory to medical treatment. Participants underwent a comprehensive assessment including questionnaires, laryngoscopy, cough frequency monitoring and voice testing.
    Results: Patients with VCD had significant cough morbidity with an increased cough frequency of 17.3 coughs/hour and reduced cough quality of life with mean Leicester Cough Questionnaire Score of 12.8. Breathing pattern abnormalities were also common in VCD and there was a strong correlation between the number of breathing pattern abnormalities and cough frequency (r = -0.827, p = 0.002). Cough measures were not significantly different between patients with VCD and those with CC. Moderate-severe PVFM was present in 69% of patients with CC. Abnormal vocal fold closure during phonation was also present in patients with chronic cough and was similar between the VCD (n = 40, 78.4%) and cough (n = 25, 64.1%) groups, p = 0.240.
    Conclusion: Cough is an important symptom in VCD. Patients presenting with chronic cough may have underlying VCD as a cause of their cough. Since cough and VCD symptoms co-occur clinicians need to consider cough when are treating VCD and VCD when treating chronic cough.
    MeSH term(s) Adult ; Aged ; Chronic Disease ; Cough/diagnosis ; Cough/etiology ; Female ; Humans ; Laryngeal Diseases/complications ; Laryngoscopy ; Male ; Middle Aged ; Morbidity ; Phonation ; Respiration ; Respiration Disorders/complications ; Respiration Disorders/physiopathology ; Surveys and Questionnaires ; Vocal Cord Dysfunction/diagnosis ; Vocal Cord Dysfunction/etiology ; Vocal Cords/physiopathology
    Language English
    Publishing date 2020-04-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 1003348-8
    ISSN 1532-3064 ; 0954-6111
    ISSN (online) 1532-3064
    ISSN 0954-6111
    DOI 10.1016/j.rmed.2020.105990
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Feasibility and clinical utility of ambulatory cough monitoring in an outpatient clinical setting: a real-world retrospective evaluation.

    Vertigan, Anne E / Kapela, Sarah L / Birring, Surinder S / Gibson, Peter G

    ERJ open research

    2021  Volume 7, Issue 4

    Abstract: Research question: Objective quantification of cough is rarely utilised outside of research settings and the role of cough frequency monitoring in clinical practice has not been established. This study examined the clinical utility of cough frequency ... ...

    Abstract Research question: Objective quantification of cough is rarely utilised outside of research settings and the role of cough frequency monitoring in clinical practice has not been established. This study examined the clinical utility of cough frequency monitoring in an outpatient clinical setting.
    Methods: The study involved a retrospective review of cough monitor data. Participants included 174 patients referred for treatment of cough and upper airway symptoms (103 chronic cough; 50 inducible laryngeal obstruction; 21 severe asthma) and 15 controls. Measures, taken prior to treatment, included 24-h ambulatory cough frequency using the Leicester Cough Monitor, the Leicester Cough Questionnaire and Laryngeal Hypersensitivity Questionnaire. Post-treatment data were available for 50 participants. Feasibility and clinical utility were also reported.
    Results: Analysis time per recording was up to 10 min. 75% of participants could use the monitors correctly, and most (93%) recordings were interpretable. The geometric mean cough frequency in patients was 10.1±2.9 (mean±sd) compared to 2.4±2.0 for healthy controls (p=0.003). There was no significant difference in cough frequency between clinical groups (p=0.080). Cough frequency decreased significantly following treatment (p<0.001). There was a moderate correlation between cough frequency and both cough quality of life and laryngeal hypersensitivity. Cough frequency monitoring was responsive to therapy and able to discriminate differences in cough frequency between diseases.
    Conclusion: While ambulatory cough frequency monitoring remains a research tool, it provides useful clinical data that can assist in patient management. Logistical issues may preclude use in some clinical settings, and additional time needs to be allocated to the process.
    Language English
    Publishing date 2021-10-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2827830-6
    ISSN 2312-0541
    ISSN 2312-0541
    DOI 10.1183/23120541.00319-2021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Lymphoedema after head and neck cancer treatment: an overview for clinical practice.

    Jeans, Claire / Brown, Bena / Ward, Elizabeth C / Vertigan, Anne E

    British journal of community nursing

    2021  Volume 26, Issue Sup4, Page(s) S24–S29

    Abstract: Lymphoedema is a disorder of the lymphatic system that presents as an atypical swelling and accumulation of protein-rich fluid within the interstitial spaces. Head and neck lymphoedema (HNL) is highly prevalent in patients who have been treated for head ... ...

    Abstract Lymphoedema is a disorder of the lymphatic system that presents as an atypical swelling and accumulation of protein-rich fluid within the interstitial spaces. Head and neck lymphoedema (HNL) is highly prevalent in patients who have been treated for head and neck cancer (HNC) and may manifest externally on the face and neck; internally within the oral cavity, pharynx or larynx; or as a combination of both. HNL is known to contribute to a wide range of physical, functional and psychological issues, and presents several unique challenges in terms of its management. This review article provides an overview of HNL for clinicians and aims to improve awareness of this condition and the impact it has on patients.
    MeSH term(s) Head and Neck Neoplasms/complications ; Head and Neck Neoplasms/therapy ; Humans ; Lymphedema/etiology
    Language English
    Publishing date 2021-04-02
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2146386-4
    ISSN 1462-4753
    ISSN 1462-4753
    DOI 10.12968/bjcn.2021.26.Sup4.S24
    Database MEDical Literature Analysis and Retrieval System OnLINE

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