Laryngopharyngeal reflux disease (LPR) occurs due to reflux of gastric contents into the larynx, pharynx and upper aerodigestivetractas a result of upper oesophageal sphincter dysfunction. Other aliases commonly used are extraesophageal reflux, reflux laryngitis or posterior laryngitis. LPR contributes up to 50% of laryngeal complaints hence; it is commonly encountered in clinical practice. LPR is present in 4-10% of those with gastro oesophageal reflux disease (GORD) while, about 20-70% with LPR has symptoms of GORD. However, there is paucity of data regarding LPR, its characteristics and associations in a Sri Lankan population. Therefore, this study aimed to describe the demographic characteristics, presenting symptoms, dietary patterns and associations and laryngoscopic findings in the study population. It also explores the relationship between the reflux symptoms index (RSI) and the reflux findings score (RFS) and the effect of treatment on the above parameters.Ceylon Journal of Otolaryngology Vol.4(1) 2015 pp.9-12
To analyze the socio-demographic data, reasons for poor compliance, post introduction follow up status & user's satisfaction. Methodology This was a prospective observational study of 6-month duration with non-randomized study population selected in two centers representing both government & Private sector with inclusion criteria. Data was collected by an Audiologist via structured questionnaire during the follow up. Data analysis was done using SPSS software package. Results There were 102 patients. Only 60% had good compliance, while 48% expressed strong satisfaction about HA usage. 66% were not aware of the need for follow up after prescription; hence 68% had never come for adjustments and revealed a statistically significant correlation (P-0.01) between patients' awareness and regular follow up. Conclusions A significant proportion of hearing aid users did not have good compliance. This study discusses methods to improve compliance emphasizing the necessity of a well-organized follow up setup.
To identify the demography and incidence of the disease, risk factors, early presenting symptoms and signs. Moreover, to recommend early diagnostic methods with effective treatment modalities and to study the possible outcome and complications among the affected patients. Methodology This was a prospective study done in histologically confirmed patients affected by the disease, who presented to the ENT department in national hospital Colombo Sri Lanka over one year period. Results There were eleven patients during this one year and it showed 100% association of Diabetes Mellitus. Almost all the patients had been subjected to surgical debridement in one or many occasions and associated with complications either due to disease or treatments, among the commonest of renal impairment in 47.3 % patients. Conclusion There were significant residual morbidity among survivors and early diagnosis is essential to avoid complication. It is important to increase the awareness about the condition among community and take preventive measures early.
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