Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Laryngopharyngeal reflux: Current opinion

  • 43 Accesses

Conclusions

The increasing importance of LPR is being recognized day by day in ENT practice. LPR has a significant negative impact in the quality of lives of the patients. Although its impact is similar in some respects to that of laryngopharyngeal disease, LPR has a more significant impact on patient’s social functioning and vitality.[23] All ear, nose and throat practitioners need to be sensitised to the presence of LPR and the need for starting treatment wherever required. Lot of hitherto symptoms of unknown aetiology are being increasingly of treating patients with atypical reflux symptoms such as hoarseness (unexplained cause), globus, throat clearing, cough, etc., with antireflux therapy.[24]

This is a preview of subscription content, log in to check access.

References

  1. 1.

    Delahunty JE. Acid laryngitis. J Laryngol Otol 1972; 86: 335–42.

  2. 2.

    Fraser AG. Review article Gastroesophageal reflux and laryngeal symptoms. Aliment Pharmacol Ther 1994; 8: 265–72.

  3. 3.

    Ulualp SO, Toohill RJ, Hoffmann R, Shaker R. Pharyngeal pH monitoring in patients with posterior laryngitis. Otolaryngol Head Neck Surg 1999; 120: 672–7.

  4. 4.

    Ott DJ. Radiographic techniques and efficacy in evaluating esophageal. Dysphagia 1990; 5: 192–203.

  5. 5.

    El-serag HB, Sonnenberg. Comorbid occurrence of laryngeal or pulmonary disease with oesophagitis in United States military veterans. Gastroenterology 1997; 113: 755–60.

  6. 6.

    Ott DJ. Gastroesophageal reflux disease. Radiol Clin North Am 1994; 32: 1147–66.

  7. 7.

    Jacob P, Kahrilas PJ. Proximal esophageal pH metry in patients with reflux laryngitis. Gastroentrology 1995; 100: 305–10.

  8. 8.

    Jamieson JR, Stein HJ, Demeester TR, Bonavina L, Schwizer W, Hinder RA, et al. Ambulatory 24-H esophageal pH monitoring normal values. optimal thresholds, specificity sensitivity and reproducibility. Am J Gastroentrol 1992; 87: 1102–11.

  9. 9.

    Kahrilas PJ, Quigley EM. Clinical esophageal pH recording: Atechnical review for practise guideline development. Gastroentrology 1996; 110: 1982–96.

  10. 10.

    Katz PO. Ambulatory esophageal and hypopharyngeal pH monitoring in patients with hoarseness. Am J Gastroenterolo 1990; 85: 38–40.

  11. 11.

    Hill J, Stuart RC, Fung HK, Ng EK, Cheung FM, Chung CS, et al. Gastroesophageal reflux. motility disorders and psychological profiles in the etiology of globus pharynges. Laryngoscope 1997; 107: 1373–7.

  12. 12.

    Knight J, Lively MO, Johnston N, Dettmar PW, Koufiman JA. Sensitive pepsin immunoassay for detection of laryngopharyngeal reflux. Laryngoscope 2005; 115: 1473–8.

  13. 13.

    Becker DJ, Sinclair J, Castell DO, Wu WC. Acomparison of high and low fat meals on postprandial esophageal acid exposure. Am J Gastroenterol 1989; 84: 782–6.

  14. 14.

    Waring JP, Eastwood TF, Austin JM, Sanowski RA. The immediate effect of cessation of cigarette smoking on gastroesophageal reflux. Am J Gastroenterol 1989; 8: 1076–8.

  15. 15.

    Johnson LF, Demeester TR. Evaluation of the head of the bed, bethanecol, and antacid form tablets on gastroesophageal reflux. Dig Dis Sci 1981; 26: 673–80.

  16. 16.

    Demeester TR, Johnson LF, Joseph GJ, Toscano MS, Hall AW, Skinner DB. Patterns of gastroesophageal reflux in health and disease. Ann Surg 1976; 184: 459–69.

  17. 17.

    Hanson DG, Kamel PL, Kahrilas PJ. Outcomes of antireflux therapy for the treatment of chronic laryngitis. Ann Otol Rhinol Laryngol 1995; 104: 550–5.

  18. 18.

    Graham DY, Lanza F, Dorsch ER. Symptomatic reflux oesophagitis: A double blind controlled comparison of antacids and alginate. Curr Ther Res Clin Exp 1977; 22: 653–8.

  19. 19.

    Wo JM, Grist WJ, Gussack G, Delgaudio JM, Waring JP. Empiric trial of high dose Omeprazole in patients with posterior laryngitis: a prospective study. Am J Gastroenterol 1997; 92: 2160–5.

  20. 20.

    Shaw GY, Searl JP, Young JL, Miner PB. Subjective laryngoscopic and acoustic measurements of laryngeal reflux before and after treatment with Omeprazole. J Voice 1996; 10: 410–8.

  21. 21.

    Vandeplas Y, Beth D, Benhamou PH, Cadranel S, Cezard JP. Cucchiara S, et al. Current concepts and issues in the management of regurgitation of infants: Areappraisal: Management guidelines from a working party. Acta Paediatr 1996; 85: 531–4.

  22. 22.

    Nussbaum E, Maggi JC, Mathis R, Galant SP. Association of lipid laden alveolar macrophages and gastroesophageal reflux in children. J Pediatr 1987; 110: 190–4.

  23. 23.

    Carrau RL, Khidr A, Crawley JA, Hillson EM, Davis JK, Pashos CL. The impact of laryngopharyngeal reflux on patient—reported quality of life. Laryngoscope 2004; 114: 670–4.

  24. 24.

    Issing WJ, Karkos PD, Perreas K. Dual—probe 24-hour ambulatory pH monitoring for diagnosis of laryngopharyngeal reflux. J Laryngol Otol 2004; 118: 845–8.

Download references

Author information

Correspondence to K. K. Handa.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Handa, K.K. Laryngopharyngeal reflux: Current opinion. Indian J Otolaryngol Head Neck Surg 57, 267–270 (2005). https://doi.org/10.1007/BF03008032

Download citation

Keywords

  • Esophageal Atresia
  • Diffuse Idiopathic Skeletal Hyperostosis
  • Laryngitis
  • Laryngopharyngeal Reflux
  • Life Style Modification