The Arnold‘s Reflex
Authors:
K. Pokorný 1; M. Meloun 2
Authors place of work:
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 the journal:
Otorinolaryngol Foniatr, 56, 2007, No. 2, pp. 63-66.
Category:
Original Article
Summary
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.
Zdroje
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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.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2007 Číslo 2
Najčítanejšie v tomto čísle
- Oroantral and Oronasal Communication Closure Possibilities Summary
- The Arnold‘s Reflex
- Head and Neck Liposarcomas
- Systemic Absorption of Adrenalin after Topical Administration on Nasal Mucosa