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Acta Endoscopica

, Volume 38, Issue 3, pp 243–246 | Cite as

Lésions pharyngo-laryngées associées au reflux: revue de la littérature

  • O. Desgain
  • G. Lawson
  • N. Lévêque
  • M. Remacle
Revue De La Littérature

Résumé

Le reflux pharyngo-laryngé (RPL) en amont du sphincter proximal provoque de nombreux symptômes, témoins possibles d’une agression acide dans l’aire supraglottique. La relation entre ces symptômes et les lésions de la sphère ORL sont difficiles à établir. La présente revue les considère sous deux aspects: 1) la laryngite postérieure couramment décrite est aspécifique. Les lésions présentées peuvent être associées à d’autres facteurs inducteurs (rhinorrhée postérieure, asthme, consommation d’alcool); 2) Une échelle de sévérité des symptômes élaborée par Belafsky (RFS: Reflux Finding Score) associée à une pH-métrie œsophagienne sous-pharyngée pourrait à l’avenir, améliorer le diagnostic étiologique différentiel des lésions.

Mots-clés

œdème laryngé reflux pharyngo-laryngé (RPL) RGO 

Reflux-related laryngopharyngeal diseases: a literature review

Summary

Laryngopharyngeal (LPR) reflux,i.e. over the superior oesophageal sphincter induces severe symptoms resulting possibly from aggression of gastro-oesophageal liquid in the LP area. A relationship between symptoms and described lesions is difficult to demonstrate. These lesions can be related to other etiologic factors (posterior chronic rhinorrhea, asthma, alcohol consumption). The present review of the LP lesions calls for a more accurate approach of this relation between lesions and subsequent symptoms,i.e. the score-scale proposed by Belafsky (RFS: Reflux Finding Score) to use associated to proximal esophageal pH-metry records, a possible contribution to the differential diagnosis in case of suspected proximal reflux.

Key-words

LPR GERD laryngeal edema 

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Copyright information

© Springer 2008

Authors and Affiliations

  • O. Desgain
    • 1
  • G. Lawson
    • 1
  • N. Lévêque
    • 1
  • M. Remacle
    • 1
  1. 1.Department of Otorhinolaryngology — Head and Neck SurgeryUniversity Hospital of Louvain at Mont-GodinneYvoirBelgium

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