Videostroboscopy in Laryngopharyngeal Reflux Disorder

Abstract

Introduction: Acid reflux disease of the larynx has been established as a separate clinical entity in the present day, requiring the nuances of a skilled laryngologist for its early diagnosis and appropriate management. Clinical presentations of laryngopharyngeal reflux disorder may vary from very subtle to mammoth proportions, ranging across a panorama of features like chronic laryngitis, indolent laryngeal ulcers or granulomas, onto life-threatening glottic/sub-glottic stenosis and laryngeal malignancies very rarely. With the advent of videostroboscopy, laryngologists have now acquired a 'cutting-edge' sensitive tool to look into the intricacies of the larynx and thereby study the pathological effects of laryngopharyngeal reflux in great detail.Objective: To assess the efficacy of videostroboscopy with voice analysis, as a diagnostic and prognostic tool in a cohort of patients with laryngopharyngeal reflux disorder.Study method: This prospective study was conducted over a two-year period, among 50 patients with hoarseness of voice and features of reflux laryngitis, who underwent videostroboscopy with voice analysis at initial diagnosis and at routine follow-up, to objectively study the response and outcome of anti-reflux therapy on the larynx.Observation and result: Videostroboscopy provided a vivid picture of the changes in larynx due to chronic acid reflux and proved efficacious in precisely judging the treatment responses. Conclusion:Our study reflects the recent concept highlighted in world literature that videostroboscopy is an ideal, sensitive tool for early diagnosis and in prognosis of acid induced laryngeal disorder.

Outcome Analysis by Voice Assessment and Videostroboscopy in Laryngopharyngeal Reflux

“…2 The ability of assessment of improvement after interval in patients with LPR relies on the clinician's ability to record laryngeal findings. 13 The videostroboscopic assessment in patient with LPR gives a vivid picture of the disease spectrum and diagnoses the changes in the larynx at very early stage. In this digital era with quick availability of previous record, follow-up at frequent intervals gives idea of response to treatment.…”

Laryngopharyngeal Reflux in Dysphonics—Understanding the Significance and the Efficacy of Clinical Diagnosis: A Case-based Study

“…Chronic exposure of laryngeal airway to acid reflux can mani fest as extra esophageal disorders ranging from simple laryngitis to life-threatening laryngeal malignancies and is designated as laryngopharyngeal reflux (LPR). [1][2][3] Pre sumed to be an important etiological factor in patients with voice disorder, the detection of LPR has become an impor tant step in the management of voice disorders 4,5 and has been reported to occur in 55 to 79% of patients with intra c table hoarseness. 6,7 The current literature clearly defines LPR as more or less separate clinical entity having a different mechanism from the well described gastro esophageal reflux (GERD) and has gained much attention recently.…”