Gastroesophageal reflux/laryngopharyngeal reflux disease: a critical analysis of the literature

Kotby, M. Nasser; Hassan, Ossama; El-Makhzangy, Aly M. Nagy; Farahat, Mohamed; Shadi, Mariam S.; Milad, Peter

doi:10.1007/s00405-009-1176-4

Cited by 26 publications

(22 citation statements)

References 49 publications

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“…Due to some controversies over laryngeal findings of reflux [34] , findings of interarytenoid oedema were not included as pathological findings of the larynx. There were, however, 36 subjects with interarytenoid oedema of whom 28 subjects did not have any organic findings in their vocal folds while 8 had other accompanying vocal fold findings.…”

Section: Phoniatric Findingsmentioning

confidence: 99%

Subjective Evaluation of Voice and Working Conditions and Phoniatric Examination in Kindergarten Teachers

Kankare

Geneid

Laukkanen

et al. 2011

Folia Phoniatr Logop

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Aims: This study evaluated the prevalence of voice problems in kindergarten teachers and investigated some background factors affecting vocal health. Methods: One hundred and nineteen female kindergarten teachers volunteered by responding to an Internet questionnaire on voice habits, voice symptoms, and the amount of negative impact various working conditions may have on their voices. Phoniatric examination was carried out with a rigid laryngoscope. Results: Of the subjects, 71.5% reported frequent strain on the voice (monthly or more often), and 56.3% reported hoarseness without infection. Eighty-six percent reported that when their voice got tired during the working day it recovered quite well, well or remarkably well by the next day. Noise at work was considered most detrimental to the voice. Clear organic findings were observed in 10.9% of the cases and did not correlate with subjective voice symptoms. Conclusions: The results confirmed earlier findings that a remarkable number of kindergarten teachers suffer from voice problems and consider noise in the environment especially to be harmful to their voices. However, the majority reported recovering well from vocal symptoms. Further studies are needed on individual speech habits, working day-related voice evaluation, recovery time and work-environmental factors. A follow-up is warranted to identify the main factors leading to voice problems.

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Section: Phoniatric Findingsmentioning

confidence: 99%

Subjective Evaluation of Voice and Working Conditions and Phoniatric Examination in Kindergarten Teachers

Kankare

Geneid

Laukkanen

et al. 2011

Folia Phoniatr Logop

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“…A critical analysis of the literature in the field concerning gastro oesophageal reflux disease (GORD) and its extra-oesophageal manifestations shows, lack of an ideal method of registering LPR [4]. Many signs in the larynx attributed to LPR are non-specific and are found in normal subjects without symptoms of posterior laryngitis [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Patients with non-specific symptoms, and findings of posterior laryngitis are believed to be over-diagnosed as having acid reflux, and consequently an inappropriate use of PPIs are prescribed to patients with findings and symptoms unrelated to reflux [3]. A critical analysis of the literature in the field concerning gastro oesophageal reflux disease (GORD) and its extra-oesophageal manifestations shows, lack of an ideal method of registering LPR [4]. Many signs in the larynx attributed to LPR are non-specific and are found in normal subjects without symptoms of posterior laryngitis [4,5].…”

Section: Introductionmentioning

confidence: 99%

Posterior laryngitis: a study of persisting symptoms and health-related quality of life

Pendleton

Ahlner-Elmqvist

Jannert

et al. 2012

Eur Arch Otorhinolaryngol

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2013Link to publication Citation for published version (APA): Pendleton, H., Ahlner-Elmqvist, M., Jannert, M., & Ohlsson, B. (2013). Posterior laryngitis: a study of persisting symptoms and health-related quality of life. European Archives of Oto-Rhino-Laryngology, 270(1), 187-195. https://doi.org/10.1007/s00405-012-2116-2 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. The aim of the present study was to examine how patients with posterior laryngitis have been examined, treated and followed up, and to assess their present health-related quality of life (HRQOL). Methods. Patients treated for posterior laryngitis at consultation at the Ear-, Nose-and Throat (ENT) clinic during 2000-2008 were contacted by mail. The letter contained questionnaires addressing the current symptoms and medication, and the HRQOL 36-item short-form questionnaire (SF-36). Medical records were scrutinized. One hundred and twenty-two patients with verified signs and symptoms of posterior laryngitis were included.Results. Forty percent of the patients had been treated for acid-related symptoms prior to consultation. The most common symptoms at the time of consultation were the sensation of hoarseness (women 40%, men 37%), globus (women 35%, men 33%) and cough (women 33%, men 26%). The most frequent diagnosis was gastro oesophageal reflux disease (GORD). Ninety percent of the women and 92% of the men were treated with proton pump inhibitors (PPIs). At the time of study, 63% of the patients still had symptoms. The results of the SF-36 questionnaire showed significantly lower HRQOL for women. Conclusions. Patients with posterior laryngitis present varying symptoms, and are often not adequately treated or followed up. When PPI treatment fails, other aetiologies of their complaints, such as visceral hypersensivity, weakly gaseous acid reflux or non-acid reflux are not considered. Symptoms from posterior laryngitis have a negative impact on the HRQOL for women.

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“…The increased number of symptoms in this group of patients may be explained by vocal tract discomfort due to irritation caused by the reflux of stomach contents coming into contact with laryngeal and oropharyngeal tissue (21) . Some symptoms, such as throat clearing, pain and/or the feeling of a lump in the throat, are described in the literature (22)(23)(24) as being consequences of gastroesophageal reflux. These symptoms are directly related to five of the seven questions that make up the physical VoiSS score: "Do you cough or clear your throat?"…”

Section: Discussionmentioning

confidence: 99%

Relação entre os sintomas vocais, intensidade do desvio vocal e diagnóstico laríngeo em pacientes com distúrbios da voz

Lopes

Silva

Evangelista

et al. 2016

CoDAS

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RESUMO Objetivo investigar se existe associação entre a frequência de ocorrência dos sintomas vocais, a intensidade do desvio vocal e o diagnóstico laríngeo em pacientes com diferentes distúrbios da voz. Métodos Participaram do estudo 330 pacientes com queixa vocal, distribuídos em cinco grupos de acordo com o diagnóstico laringológico: G1-sem lesão laríngea, G2-lesões benignas das pregas vocais, G3-distúrbio neurológico da voz, G4-fenda glótica sem causa orgânica ou neurológica e G5-distúrbio de voz secundário a refluxo gastroesofágico. Foram alocados em cinco grupos, de acordo com o diagnóstico laríngeo. Todos os participantes responderam à Escala de Sintomas Vocais (ESV) e gravaram a vogal /ɛ/ sustentada, que foi analisada quanto à intensidade do desvio vocal por meio de uma escala analógico-visual. Resultados Houve diferença nos escores total, de limitação e físico da ESV entre diferentes grupos diagnósticos. Pacientes com lesão na porção membranosa das pregas vocais apresentaram maior número de sintomas vocais em relação aos outros grupos diagnósticos. Observou-se correlação positiva entre a intensidade do desvio vocal e os escores total, de limitação e emocional da ESV. Pacientes com desvio vocal moderado e intenso apresentaram maior número de sintomas vocais que pacientes com vozes saudáveis ou com desvio leve. Conclusão Existe associação entre o diagnóstico laríngeo, a intensidade do desvio vocal e a frequência de ocorrência dos sintomas vocais. Pacientes com lesão benigna nas pregas vocais e com desvio vocal mais intenso apresentam maior frequência de sintomas vocais.

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Gastroesophageal reflux/laryngopharyngeal reflux disease: a critical analysis of the literature

Cited by 26 publications

References 49 publications

Subjective Evaluation of Voice and Working Conditions and Phoniatric Examination in Kindergarten Teachers

Subjective Evaluation of Voice and Working Conditions and Phoniatric Examination in Kindergarten Teachers

Posterior laryngitis: a study of persisting symptoms and health-related quality of life

Relação entre os sintomas vocais, intensidade do desvio vocal e diagnóstico laríngeo em pacientes com distúrbios da voz

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