Oh J, Park Y, Choi J, Jeon Y. Superior laryngeal nerve block for treatment of throat pain and cough following laryngeal herpes zoster: A case report. World J Clin Cases 2023; 11(18): 4433-4437 [PMID: 37449242 DOI: 10.12998/wjcc.v11.i18.4433]
Corresponding Author of This Article
Younghoon Jeon, MD, PhD, Academic Editor, Professor, Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, South Korea. jeon68@gmail.com
Research Domain of This Article
Otorhinolaryngology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 26, 2023; 11(18): 4433-4437 Published online Jun 26, 2023. doi: 10.12998/wjcc.v11.i18.4433
Superior laryngeal nerve block for treatment of throat pain and cough following laryngeal herpes zoster: A case report
Jinyoung Oh, Youngje Park, Jeongkyu Choi, Younghoon Jeon
Jinyoung Oh, Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu 41944, South Korea
Youngje Park, Jeongkyu Choi, Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu 41944, South Korea
Younghoon Jeon, Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu 41944, South Korea
Author contributions: Oh J drafted the manuscript; Choi J and Park Y collected data; Jeon Y reviewed the literature and edited the manuscript; all authors agreed to be accountable for all aspects of the work, and issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Younghoon Jeon, MD, PhD, Academic Editor, Professor, Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, South Korea. jeon68@gmail.com
Received: April 5, 2023 Peer-review started: April 5, 2023 First decision: May 8, 2023 Revised: May 17, 2023 Accepted: May 22, 2023 Article in press: May 22, 2023 Published online: June 26, 2023 Processing time: 81 Days and 12.2 Hours
Abstract
BACKGROUND
Herpes zoster is caused by reactivation of latent varicella-zoster virus infection within the sensory nerve ganglion of the spinal or cranial nerves. Laryngeal herpes zoster is rare and involves superior laryngeal nerve, which leads to several complications such as throat pain, and cough.
CASE SUMMARY
Patient concerns: A 52-year old woman presented with a 70 d history of throat pain and a 67 d history of non-productive cough. Three days after onset of pain, she was diagnosed with laryngeal herpes zoster. Flexible nasolaryngoscopy revealed multiple white ulcerated lesions on the left hemi epiglottis and the left supraglottic area. She was prescribed with 750 mg famciclovir a day for 7 d, and 150 mg pregabalin, 100 mg tramadol and 10 mg nortriptyline a day for 67 d. However, despite of these medications, she complained of pain and persistent cough. Therefore, superior laryngeal nerve block under ultrasound guidance was performed. Three days after the intervention, the throat pain and cough disappeared. The patient remained symptom-free at 3 mo follow-up.
CONCLUSION
A superior laryngeal nerve block can be an effective option for treatment of pain and cough following laryngeal herpes zoster.
Core Tip: Laryngeal herpes zoster is rare, leading to several complications such as throat pain, and cough. A superior laryngeal nerve block can be an effective option for treatment of pain and cough following laryngeal herpes zoster.
