http://drtbalu.co/index.php?action=history&feed=atom&title=Laryngopharyngeal_reflux 2026-04-12T08:16:23Z Revision history for this page on the wiki MediaWiki 1.34.1 http://drtbalu.co/index.php?title=Laryngopharyngeal_reflux&diff=627&oldid=prev 2018-10-22T15:39:27Z

<p>Created page with &quot; <a href="/index.php/Category:Laryngology" title="Category:Laryngology">Category:Laryngology</a> Laryngopharyngeal reflux is caused due to retrograde flow of gastric contents into laryngopharynx. This condition is related to GERD (Gastric oeso...&quot;</p> <p><b>New page</b></p><div><br /> <br /> [[Category:Laryngology]]<br /> <br /> Laryngopharyngeal reflux is caused due to retrograde flow of gastric contents into laryngopharynx.<br /> <br /> This condition is related to GERD (Gastric oesophageal reflux disease). In fact it is a common extra oesophageal manifestation of GERD.<br /> <br /> Clinical manifestations:<br /> <br /> <br /> Voice change<br /> <br /> Excessive throat clearing<br /> <br /> Copious amount of mucous<br /> <br /> Feeling of lump in the throat<br /> <br /> Difficulty in swallowing<br /> <br /> Heart burn<br /> <br /> Chronic cough<br /> <br /> Vague discomfort in the throat<br /> <br /> <br /> To help in the diagnosis of laryngopharyngeal reflux two score charts have been devised:<br /> <br /> 1. Reflux symptom index<br /> <br /> 2. Reflux finding score.<br /> <br /> Reflux symptom index: Suspected patients are given a questionnaire to answer. It contains about 9 questions. Patient is supposed to award scores according to their symptoms.<br /> <br /> Reflux symptom index chart:<br /> <br /> Within last month how did the following problems affect you ?<br /> <br /> 1. Hoarseness of voice / voice problems : scores 0 - 5. 0 = No problem 5 = severe problem<br /> <br /> 2. Clearing your throat: Scores 0 - 5<br /> <br /> 3. Excess throat mucous / post nasal drip: scores 0 - 5<br /> <br /> 4. Difficulty in swallowing food / liquids / pills: scores 0-5<br /> <br /> 5. Cough after eating / lying down: scores 0-5<br /> <br /> 6. Breathing difficulty / choking: scores 0-5<br /> <br /> 7. Annoying cough: Scores 0-5<br /> <br /> 8. Sticky sensation in throat / lump in throat: Scores 0-5<br /> <br /> 9. Heart burn / chest pain: scores 0-5<br /> <br /> Reflux symptom index score of more than 13 indicates laryngopharyngeal reflux.<br /> <br /> Reflux finding score:<br /> <br /> This scoring is prepared by the surgeon after performing a laryngeal examination. <br /> <br /> 1. Subglottic oedema: 0 - absent, 2 - present.<br /> <br /> 2. Ventricular obliteration: 2 - partial, 4 - complete<br /> <br /> 3. Erythema / Hyperemia: 2 - arytenoids involved, 4 - diffuse<br /> <br /> 4. Vocal fold oedema: 1 - mild, 2 - moderate, 3 - severe, 4 - polypoidal<br /> <br /> 5. Diffuse laryngeal oedema: 1 - mild, 2 - moderate, 3 - severe, 4 - obstruction<br /> <br /> 6. Posterior commissure hypertrophy: 1 - mild, 2 - moderate, 3 - severe and 4 - obstruction.<br /> <br /> 7. Granuloma / Granulation: 0 - absent, 2 - present<br /> <br /> 8. Thick mucous: 0 - absent, 2 - present.<br /> <br /> A score of 7 indicates possible presence of laryngopharyngeal reflux.<br /> <br /> Pepsin Immunoassay:<br /> <br /> Detection of pepsin in the throat sputum of patients indicates the presence of laryngopharyngeal reflux.<br /> <br /> It is 100% sensitive, and 90% specific.<br /> <br /> Management:<br /> <br /> 1. Cessation of smoking<br /> <br /> 2. Decreased fat intake<br /> <br /> 3. Avoiding going to bed within three hours after eating<br /> <br /> 4. Elevation of head during sleep<br /> <br /> <br /> [[File:Cfv-lpr.jpg|framed|center|Image showing laryngopharyngeal refux changes in larynx]]</div>

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