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Although the cause of impaired laryngopharyngeal sensitivity remains unclear, a few hypothesis have been risen: the use of inhaled coriticosteroids and anticholinergics may have an effect on the sensory mucosa of the laryngopharynx; laryngeal edema caused by smoking and presence of chronic cough, commonly reported in COPD patients, may contribute to reduced sensation [ 21].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com