#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

The Arnold‘s Reflex


Authors: K. Pokorný 1;  M. Meloun 2
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku, Krajská nemocnice Pardubice ;  přednosta prof. MUDr. A. Pellant, DrSc. Fakulta chemicko-technologická, Katedra analytické chemie, Univerzita Pardubice 1;  vedoucí prof. Ing. K. Vytřas, DrSc. 2
Published in: Otorinolaryngol Foniatr, 56, 2007, No. 2, pp. 63-66.
Category: Original Article

Overview

The Arnold’s (cough) reflex is elicited by direct mechanical stimulation of the wall of the bony ear canal. The reflex could induce different vegetative symptoms. The most frequent is cough, but also vomiting, gagging and lacrimation. In the present study, incidence of this reflex was observed in a sample of 156 persons (86 male, 70 female) which was randomly selected from out - and in -patients of the Clinic of ENT and head and neck surgery of the Regional Hospital Pardubice. The survey revealed incidence in 20.5 % of the sample in question of the positive Arnold’s reflex, in 5.8 % bilateral. The most frequent was the oto-respiratory reflex (12.8 %), followed by oto-palatal (8.3 %), oto-lacrimal (2.6 %) and oto-vomiting (1.9 %). The reflex was found in each canal quadrant, not only in posterior and inferior but also in 19 persons (12.2 %) in the superior and/or anterior wall (6.4 %, resp. 7.7 %). This is contrary to the previously described distribution of the sensitive nerves to the parts of the ear canal.

Key words:
Arnold’s reflex, oto-respiratory reflex, external ear canal, cough, Arnold’s nerve.


Sources

1. Ballachanda, B. B.: The human ear canal: theoretical implications and clinical considerations including cerumen management. Singular Publishing Group, Inc., London, 1995.

2. Bloustine, S., Langston, L., Miller, T.: Ear-cough (Arnol’s) reflex. Ann. Otol. 85, 1976, s. 406-407.

3. Čihák, R.: Anatomie 3. Grada Publisching, s.r.o., Praha, vydání 1., 1997, s. 672.

4. Gupta, D., Verma, S., Vishwakarma, S. K.: Anatomic basis of Arnold’s ear-cough reflex. Surg. Radiol. Anat., 1986, 8, s. 217-220.

5. Jegoux, F.: Chronic cough and ear wax. Lancet, 360, 2002, č. 9333, s. 618.

6. Prasat, K. S.: Cardiac depression on syringing the ear. A case report. Laryngol. Otol., 98, 1984, s. 1013.

7. Raman, R.: Impacted ear wax - A cause for unexplained cough? Arch. Otolaryngol. Head Neck Surg., 112, 1986, s. 679.

8. Todisco, T.: The oto-respiratory reflex. Respiration, 43, 1982, s. 354-358.

9. Oto-respirační (Arnoldův) reflex u mladého muže. Medicína, 9, 2002, č. 10, s. 6-7.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#