Reflux Laryngitis: Correlation between the Symptoms Findings and Indirect Laryngoscopy

Abstract

Introduction The indirect laryngoscopy has an important role in the characterization of reflux laryngitis. Although many findings are nonspecific, some strongly suggest that the inflammation is the cause of reflux. Objective The aim of this study was to evaluate the correlation between reflux symptoms and the findings of indirect laryngoscopy. Methods We evaluated 27 patients with symptoms of pharyngolaryngeal reflux disease. Results Laryngoscopy demonstrated in all patients the presence of hypertrophy of the posterior commissure and laryngeal edema. The most frequent symptoms were the presence of dry cough and foreign body sensation. Conclusion There was a correlation between the findings at laryngoscopy and symptoms of reflux.

A Clinical Diagnosis of Laryngopharyngeal Reflux in Patients with Voice related Problems via Correlation between Reflux Symptoms and Laryngoscopic Findings

“…In analysing the individual symptoms from RSI versus laryngeal finding from RFS with both statistical method and ICC reliability, this study revealed the symptom hoarseness and frequent throat clearing was positively correlated with posterior commissure hypertrophy, and vocal folds and diffuse laryngeal edema, and these results were almost comparable with the findings of other studies [13,14], karakaya NE et al [15]. Whom used a rigid laryngoscope in their study, they found the posterior commissure hypertrophy was most frequent finding in voice related complaints patients, and RFS was with relatively high intra-rater and inter-rater agreement for evaluation of LPR, while RSI was considerably correlated with both sum RFS and all individual variables from RFS, except posterior commissure hypertrophy.…”

“…The most frequent symptom detected in this study was hoarseness, followed by the frequent throat clearing, and usually at morning, and this observation was supported by some studies that found dysphonia being a major symptom of LPR, and is more common in morning was due to vocal cords edema that resultant from reflux of gastric acid at supine position night sleep and thus improving during the day time [12], and the most common laryngoscopic physical findings were posterior commissure hypertrophy and vocal cords edema and diffuse laryngeal edema, and these observations were agreed by other studies [13,14].…”

“…The RSI was ranged (13-30), with mean score (18.625), and RFS was ranged [7][8][9][10][11][12][13][14][15][16][17][18][19], with mean score (9.738). Most common symptom and sign was hoarseness (89.74%) and posterior commissure hypertrophy (87.17%).…”

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BackgroundLaryngopharyngeal reflux (LPR) is not uncommon problem facing an otolaryngologist, and considered one of the discomfited diagnosing condition due to lack of its definitive diagnostic guidelines, so researches concerned for its potential diagnosis for initiation a proper treatment to improve the patient's quality of life.

ObjectivesThis study was aimed to access the clinical diagnosis of LPR in patients presenting with voice related problems through assessment the agreement in correlation between main reflux symptoms and reflux physical laryngoscopical findings.

Patients and MethodsSeventy-eight consecutive patients with voice-related problems were recruited in this prospective study where they were asked to fill a self-administrated reflex symptom index (RSI) questionnaire, had a clinical consultation, and then subjected to fibre-optic laryngoscopic examination rated their laryngeal reflex finding score (RFS). Clinical diagnosis of LPR was accessed through analysis the correlation between sum and individual variables of RSI and RFS.

ResultsThe RSI was ranged (13-30), with mean score (18.625), and RFS was ranged [7][8][9][10][11][12][13][14][15][16][17][18][19], with mean score (9.738). Most common symptom and sign was hoarseness (89.74%) and posterior commissure hypertrophy (87.17%).

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