A Comparison of Rating Scales Used in the Diagnosis of Extraesophageal Reflux

Musser, Joy; Kelchner, Lisa; Neils-Strunjaš, Jean; Montrose, Marshall H.

doi:10.1016/j.jvoice.2009.11.009

Cited by 42 publications

(48 citation statements)

References 23 publications

(34 reference statements)

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“…These findings were in accordance with Musser et al [37], who compared RSI findings to dual-probe pH findings and found a statistically significant correlation between RSI and reflux events. On the other hand, the results of our study contradict a similar study by Friedman et al [4], who used the same pH monitoring technique (Restech Dx pH system), but did not report a correlation between RSI and pH results.…”

Section: Discussionsupporting

confidence: 92%

“…Although RFS is being used in many research studies for the diagnosis of LPR, there is criticism regarding the application of this tool in LPR diagnosis as it has not been validated in a large-scale randomized trial [21]. Moreover, RFS has been criticized to have a high inter- or intraobserver variability and low specificity for reflux laryngitis [36,37,38]. …”

Section: Discussionmentioning

confidence: 99%

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Voice Problems among Laryngopharyngeal Reflux Patients Diagnosed with Oropharyngeal pH Monitoring

Mesallam

Malki²,

Farahat³

et al. 2013

Folia Phoniatr Logop

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Background and Objectives: There is a lack of consensus regarding the clinical presentation and diagnosis of laryngopharyngeal reflux (LPR). The aim of this study was to explore voice-related abnormalities in a group of LPR patients, diagnosed with a 24-hour oropharyngeal pH monitoring. Patients and Methods: Eighty-two patients with voice-related problems participated in the study. Diagnosis of LPR was made using a 24-hour oropharyngeal pH monitoring. Patients were divided accordingly into positive and negative pH groups. Comparisons between the two groups were done, including results of clinical presentation, Voice Handicap Index-10 (VHI-10), reflux symptom index (RSI), reflux finding score (RFS), and acoustic measurements. The correlation was conducted between Ryan scores and other variables including VHI-10, RSI, and RFS. Results: Significant differences were found between the two groups for RSI and VHI-10. No significant differences were found between the two groups regarding clinical presentation, RFS or acoustic measures. Significant positive correlations were found between the Ryan composite measurements and both severity ratings (VHI-10, RSI). Conclusion: LPR clinical presentation appears to be non-specific in terms of symptoms and laryngeal findings. LPR appears to have an effect on the patients' self-perception of voice problems. Further studies are needed to clarify the effect of LPR on acoustic measurements.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Voice Problems among Laryngopharyngeal Reflux Patients Diagnosed with Oropharyngeal pH Monitoring

Mesallam

Malki²,

Farahat³

et al. 2013

Folia Phoniatr Logop

View full text Add to dashboard Cite

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“…Auch in neueren Arbeiten ließ sich eine gute Korrelation zwischen RSI und der pH-Metrie nachweisen [10,20]. Deshalb stellt der RSI ein relativ einfach anzuwendendes Medium dar, um einen ersten Hinweis für das Vorliegen eines EER zu erhalten.…”

Section: Fragebogenunclassified

“…Deshalb stellt der RSI ein relativ einfach anzuwendendes Medium dar, um einen ersten Hinweis für das Vorliegen eines EER zu erhalten. Allerdings muss berücksichtigt werden, dass ähnliche Symptome, wie sie [10,20]. Weiterentwicklungen dieses Fragebogens, wie beispielsweise der "Pharyngeale-Reflux-Symptom-Fragebogen" spielen heute in der klinischen Routine noch keine Rolle [1].…”

Section: Fragebogenunclassified

Möglichkeiten der Refluxdiagnostik durch den Hals-Nasen-Ohren-Arzt

Jecker¹

2012

HNO

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Reflux disease has gained in importance over the last decade since we know that many of the symptoms and diseases of the upper aerodigestive tract might be associated with reflux. However, a distinction needs to be made between extraesophageal reflux (EER) and gastroesophageal reflux disease (GERD). There are several techniques available for the diagnosis of EER. Furthermore, there are various pH monitoring devices to determine acid contamination of the larynx and the pharynx. In addition, flexible transnasal esophagoscopy is a practicable technique for the rapid examination of reflux, its cause as well as the diagnosis of reflux-induced mucosal changes in the esophagus. The present article describes the instruments used for the diagnosis of reflux against the background of our own experience and the international literature.

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“…Untersuchungen anhand einer größeren randomisierten Studie fehlen aber bisher [28]. Zusätzlich zeigen die Bewertungsskalen untereinander keine gute Übereinstim-mung [29]. Die Korrelation zu laryngoskopischen Befunden ist eingeschränkt [30].…”

Section: Abschätzung Der Refluxerkrankung Anhand Von Bewertungsskalenunclassified