Pedicled Mucosal Flap of the Uvula: An Unusual Cause of Chronic Cough in an Adult

Abstract

Objective: To describe a case of chronic cough due to pedicled uvular mucosal flap Design: Case report. Setting: A tertiary military hospital Patient: One (1) Result: A mucosal flap was seen arising from the uvula on oropharyngeal examination with a tongue depressor. Nasopharyngoscopy documented its extension to the tongue base and hypopharynx. It was excised under local anesthesia with amelioration of complaints and cessation of cough. Conclusion: The etiology of chronic cough not attributable to chronic rhinosinusitis, asthma, gastroesophageal reflux, tuberculosis, dysfunctional swallowing or cigarette smoking should be investigated further. A simple oropharyngeal examination (as in this case) may reveal the cause and a simple solution may be obtained, avoiding unnecessary investigations and treatment. Key words: Mucosal flap, uvula, chronic cough, pedicle

Keywords

• Mucosal flap
• uvula
• chronic cough
• pedicle