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Abstract

Aims:

To assess the Correlation between the Clinical Symptoms and Laryngoscopic findings of Reflux Laryngitis using the Reflux Symptoms Index (RSI) and the Reflux Finding Score (RFS).

Materials and Methods:

Cross-sectional study conducted in the Department of Otorhinolaryngology, from January 2018 to December 2018. 75 patients were included in the study. Detailed history was taken and the symptoms were graded based on the RSI. After this initial evaluation, patients were subjected to video laryngoscopy and changes were graded based on the RFS.

Results:

Out of 75 patients (40 males, 35 females), all patients presented with heartburn. Among them 98% patients had non-specific complaints like constant clearing of throat and feeling of lump in the throat and 56% had complains of hoarseness of voice. On fibreoptic laryngoscopic examination, 98% of patients were found to have erythema/hyperemia, 96% of patients had posterior commissure hypertrophy. 93.3% had vocal fold oedema and only 62.7% of patients showed partial ventricular obliteration. The mean RSI in those with significant findings was found to be statistically significant (p value = 0.054) indicating that those with an abnormal RSI are likely to have significant findings.

Conclusion:

The analysis concludes that RSI v/s RFS are statistically significant (p value = 0.007) which means that when a patient has an abnormal RSI and a positive RFS, a likely diagnosis of LPR can be made with the help of these two complimentary scores.

Keywords: Laryngopharyngeal Reflux; GERD; Reflux Laryngitis; RSI; RFS

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References

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Citation

Citation: Neha A Padia and Priti S Hajare. “Correlation of Clinical Symptoms and Laryngoscopic Signs in Reflux Laryngitis". Acta Scientific Otolaryngology 2.7 (2020): 24-28.

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Copyright

Copyright: © 2020 Neha A Padia and Priti S Hajare. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.