Evidence map›Paper›PMID 37608685›Full record

ArticleThe Annals of otology, rhinology, and laryngology2024

Indications and Short-Term Outcomes for In-Office Therapeutic Superior Laryngeal Nerve Block.

Alan J Gray, Matthew R Hoffman, Zao M Yang, Beau Vandiver, Joshua Purvis, Jake P Morgan, Edie R Hapner, Laura Dominguez, Kathleen Tibbetts, C Blake Simpson

Open access · hybridAbstract read
In one paragraph

Article in The Annals of otology, rhinology, and laryngology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Effect of Superior Laryngeal Nerve Block for Neurogenic Cough: A Single-Arm Meta-Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Pooled it
  2. Pooled it
  3. Efficacy and safety of superior laryngeal nerve block in neurogenic cough: A systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  4. Pooled it
  5. Where Eastern Medicine Meets Western Medicine: A World Review of the Management of Chronic Cough.World journal of otorhinolaryngology - head and neck surgery · 2026
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  10. Evaluation of Superior Laryngeal Nerve Block for Management of Laryngeal Sensory Neuropathy.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  11. Long-term efficacy of superior laryngeal nerve block for the treatment of chronic neurogenic cough.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Alan J GrayDepartment of Otolaryngology-Head and Neck Surgery, University of Texas Health San Antonio, San Antonio, TX, USA.ORCID 0000-0002-7957-1038
Matthew R HoffmanDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama-Birmingham, Birmingham, AL, USA.ORCID 0000-0002-1923-0039
Zao M YangDepartment of Otolaryngology-Head and Neck Surgery, University of Texas Health San Antonio, San Antonio, TX, USA.
Beau VandiverDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama-Birmingham, Birmingham, AL, USA.
Joshua PurvisDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama-Birmingham, Birmingham, AL, USA.
Jake P MorganDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama-Birmingham, Birmingham, AL, USA.
Edie R HapnerDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama-Birmingham, Birmingham, AL, USA.
Laura DominguezDepartment of Otolaryngology-Head and Neck Surgery, Cleveland Clinic Florida, Coral Springs, FL, USA.
Kathleen TibbettsDepartment of Otolaryngology-Head and Neck Surgery, University of Texas-Southwestern, Dallas, TX, USA.ORCID 0000-0001-8166-0972
C Blake SimpsonDepartment of Otolaryngology-Head and Neck Surgery, University of Alabama-Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USThe University of Texas Health Science Center at San Antonio · USCleveland Clinic Florida · USThe University of Texas Southwestern Medical Center · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSuperior laryngeal nerve (SLN) block consists of injection of steroid and anesthetic at the internal branch of the SLN entry site. Prior case series have demonstrated beneficial effects on neurogenic cough. SLN blocks have also recently shown benefit for paralaryngeal pain. We describe short-term outcomes for multiple symptoms of irritable larynx syndrome (ILS) including neurogenic cough, dysphonia related to laryngeal hypersensitivity, inducible laryngeal obstruction (ILO), paralaryngeal pain, and isolated globus.

methodsRetrospective review from 2 institutions of patients undergoing a single SLN block for the indications listed. Variables include age, sex, indication(s), known vagus neuropathy, and patient-reported outcomes at short-term follow-up.

resultsA total of 209 patients were included (59 males, 150 females; age: 58 ± 13 years). Twenty-six patients (12%) had a history of a vagus nerve injury. Indications included neurogenic cough (n = 149), dysphonia related to laryngeal hypersensitivity (n = 66), paralaryngeal pain (n = 50), ILO (n = 23), and isolated globus (n = 3). Some patients had multiple indications. Significant improvements in patient-reported measures occurred after a single SLN block within 2 to 4 weeks for neurogenic cough (cough severity index; 25.2 ± 11.2 to 19.0 ± 12.8;

conclusionSLN block can be an effective component of treatment for a variety of ILS symptoms. Patients may experience some improvement after 1 injection. LAY SUMMARY: Symptoms of irritable larynx syndrome, such as neurogenic cough, paralaryngeal pain, inducible laryngeal obstruction, and dysphonia related to laryngeal hypersensitivity can be challenging to manage. In-office Superior Laryngeal Nerve blocks can serve as a quick, well tolerated, adjunctive treatment with positive short-term outcomes. LEVEL OF EVIDENCE: 4.

Indexed as

Airway ObstructionDysphoniaLaryngeal DiseasesLarynxAgedCoughFemaleHumansLaryngeal NervesMaleMiddle AgedPainchronic coughglobusinducible laryngeal obstructionmuscle tension dysphonianeurogenic coughparalaryngeal painsuperior laryngeal nerve block

Identifiers

PMID37608685
PMCPMC10771019
OpenAlexW4386084902

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.