Introduction The Gastroesophageal Reflux Disease has a prevalence of ∼12% of the urban population in Brazil. Koufman proposed the term to designate Laryngeal Pharyngeal Reflux (LPR) symptoms, signs or tissue damage resulting from aggression of the gastrointestinal contents in the upper aerodigestive tract. Belafsky et al proposed a score that points to inflammatory laryngeal signs through videolaryngoscopic findings, the Reflux Finding Score (RFS). Moreover, in 2002, they published the Reflux Symptom Index (RSI).Objective The objective of this study is to provide a comparison between the Reflux Finding Score and the Reflux Symptom Index in the practice of Otorhinolaryngology.Methods Our study involved a total of 135 patients who visited the Ear, Nose, and Throat (ENT) clinic Núcleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo between April 2014 and May 2015 with suspected LPR. We excluded nine patients and the study group was 126 patients. All patients were ranked by their RSI and RFS scores.Results The study group consisted of 126 patients (88 women and 38 men). Their main complaints were cough (40.4%), globus (21.4%), dysphonia (19.8%), throat clearing (15.8%), postnasal drip (3.17%), snoring (1.5%), dysphagia (1.5%), cacosmia (0.7%), and regurgitation (1.5%). The RSI ranges from 13 to 42 with a mean of 20.7 (SD = 6.67). The RFS ranged from 3 to 19 with a mean of 9.53 (SD = 2.64).Conclusion The RSI and RFS can easily be included in ENT routines as objective parameters, with low cost and high practicality. Based on the clinical index, the specialist can evaluate the need for further tests.
INTRODUCTION: Self-assessment questionnaires, can provide subjective data about the intensity of daytime sleepiness. Among the existing questionnaires the most used one is the Epworth Sleepiness scale (ESS), which measures the propensity to fall asleep, as well as the severity of excessive sleepiness, [5] and the evaluation of the response in OSA treatment. In 1997, the Functional Outcome Sleep Questionnaire (FOSQ), was developed to evaluate the functional impact of sleepiness in daily life activities [6]. In this study, we will use the Epworth sleepiness scale, and the Functional Outcome Sleep Questionnaire in its shortest version, known as FOSQ 10[7], developed in 2009 by Weaver, who in addition to drowsiness included the relationship of sleep to the quality of life. MATERIALS AND METHODS: The following variables were analyzed: age, anthropometric characteristics (weight, height, body mass index [BMI]), duration of complaints, type of complaints related to sleep (snoring, insomnia, excessive daytime sleepiness), sleep apnea and hypopnea index (AHI). Inclusion criteria were patients between 18 and 80 years, without prior surgery, with complaints related to sleep disorders. Exclusion criteria were: children under 18 years, previous surgeries, previous use of CPAP. RESULTS: the significance level at 5%, where we observed moderate and significant inverse correlation between FOSQ and ESS (p < 0.001), which evidences that the higher the ESS value, the lower the FOSQ value will be CONCLUSION: This study has shown an acceptable correlation between the scores on the Epworth and FOSQ scale
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