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The auricular branch of the vagus nerve is often termed the Alderman's nerve ("a reference to the old Aldermen of the City of London and their practice of using rosewater bowls at ceremonial banquets, where attendees were encouraged to place a napkin moistened with rosewater behind their ears in the belief that this would aid digestion") or Arnold's nerve (an eponym for Friedrich Arnold).
Stimulation of the auricular branch of the vagus nerve supplying the ear may also elicit a cough. This ear-cough reflex is also known as Arnold's nerve reflex (ANR), linked to the auricular branch of vagus nerve. It is an example of vagal hypersensitivity.
The hypersensitivity of vagal afferent nerves causes refractory or idiopathic cough. Arnold's nerve ear-cough reflex, though uncommon, is a manifestation of a vagal sensory neuropathy and this is the cause of a refractory chronic cough that can be treated with gabapentin. The cough is triggered by mechanical stimulation of the external auditory ...
The auricular branch of the vagus nerve was nicknamed "Arnold's nerve" after he described the reflex of coughing when the ear is stimulated. [2] Other eponyms that contain his name are "Arnold's ganglion" (otic ganglion) and "Arnold's canal" (a passage of the petrous portion of the temporal bone for the auricular branch of the vagus nerve. [3]
A main reason is that patients’ cough reflex is enhanced for a month or more even from the simplest common cold, said Dr. Peter Dicpinigaitis, director of Montefiore Cough Center in New York City.
Abdominal reflex; Accommodation reflex — coordinated changes in the vergence, lens shape and pupil size when looking at a distant object after a near object. Acoustic reflex or attenuation reflex — contraction of the stapedius and tensor tympani muscles in the middle ear in response to high sound intensities.
The journal said using sound as a biomarker for diseases was a concept born during the pandemic when research groups found it possible to detect COVID-19 through the audio of a person’s cough.
The vagus nerve provides an auricular branch also termed "Arnold's nerve" which also supplies the external auditory canal, thus laryngopharyngeal cancer can result in referred ear pain. This nerve is also responsible for the ear-cough reflex in which stimulation of the ear canal results in a person coughing.