Acta Scientific Otolaryngology (ASOL)

Research Article Volume 2 Issue 8

Correlation of Clinical Symptoms and Laryngoscopic Signs in Reflux Laryngitis

Neha A Padia1* and Priti S Hajare2

1Post Graduate, Department of ENT&HNS, KLE University, India
2Professor, Department of ENT&HNS, KLE University, India

*Corresponding Author: Neha A Padia, Post Graduate, Department of ENT&HNS, KLE University, India.

Received: June 16, 2020; Published: July 31, 2020

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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

  1. Koufman JA., et al. “Laryngopharyngeal reflux: Position statement of the Committee on Speech, Voice, and Swallowing Disorders of the American Academy of Otolaryngology-Head and Neck Surgery”. Otolaryngology-Head and Neck Surgery 1 (2002): 32-35.
  2. Michael Gleeson. “Anatomy of the larynx and tracheobronchial tree”. In: Michael Gleeson, edition. Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery. Vol 2. SEVENTH”. Edward Arnold (Publishers) Ltd (2008): 2130-2144.
  3. Delahunty JE. “Acid laryngitis”. The Journal of Laryngology and Otology 4 (1972): 335-342.
  4. Fraser-Kirk K. “Laryngopharyngeal reflux: A confounding cause of aerodigestive dysfunction”. Australian Family Physician 1 (2017): 34-39.
  5. James B and Snow JJB. “Ballenger’s Otorhinolaryngology Head and Neck Surgery”. Chicago: BC Deker Inc; (2003).
  6. Koufman JA. “The otolaryngologic manifestations of gastroesophageal reflux disease (Gerd): A clinical investigation of 225 patients using ambulatory 24-hour ph monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal”. Laryngoscope4 (1991): 1-78.
  7. Shaker R., et al. “Esophagoglottal closure reflex: A mechanism of airway protection”. Gastroenterology 3 (1992): 857-861.
  8. Milstein CF., et al. “Prevalence of laryngeal irritation signs associated with reflux in asymptomatic volunteers: Impact of endoscopic technique (rigid vs. flexible laryngoscope)”. Laryngoscope12 (2005): 2256-2261.
  9. Lapeña JFF., et al. “Validity and Reliability of the Filipino Reflux Symptom Index”. The Journal of Voice 3 (2017): 387.e11-387.e16.
  10. Belafsky PC., et al. “The validity and reliability of the reflux finding score (RFS)”. Laryngoscope8 (2001): 1313-1317.
  11. Cesari U., et al. “Dysphonia and laryngopharyngeal reflux”. Acta Otorhinolaryngologica Italica 1 (2004): 13-19.
  12. Da Silva CED., et al. “Reflux laryngitis: Correlation between the symptoms findings and indirect laryngoscopy”. International Archives of Otorhinolaryngology 3 (2014): 234-237.
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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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Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

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