2013, Number 3
Correlation of symptoms and signs of laryngopharyngeal reflux in adult patients with dysphonia compared with healthy patients
Moreno PR, González VE, Flores MA
Language: Spanish
References: 12
Page: 139-145
PDF size: 463.87 Kb.
ABSTRACT
Background Laryngopharyngeal reflux is a syndrome that shows multiple clinical manifestations, although many patients report intermittent hoarseness as a symptom that most frequently requires medical visits. It may be present in up to 50% of patients with voice disorders. The application of the Reflux Symptom Index and Reflux Findings Score is considered useful for the diagnosis of this disease being fast, cheap and reliable.Objectives To determine the correlation between the severity of symptoms and endoscopic signs of laryngopharyngeal reflux in adults with dysphonia compared with adults without dysphonia.
Material and method A clinical, descriptive, transverse and analytical study was conducted from March to July 2012. The control group had 89 patients and the study group had 87. Under informed consent was given a questionnaire form for laryngopharyngeal reflux symptoms and subsequently a nasopharyngolaryngoscopy was performed.
Results For the group of healthy patients, the average score of Reflux Symptom Index was 4.27 ± 3.222 and for the group of dysphonia was 17.56 ± 10.029. The overall result of the Reflux Finding Score was for the healthy group an average of 1.53 ± 1.63; and for the group of dysphonia was 5.63 ± 2.97. The overall Pearson correlation between the RSI and the RFS was found positive (0.623) being statistically significant with a p of 0.000 reported as moderately good.
Conclusions Reflux Symptom Index is a useful and cheap tool that may be used in the daily consultation. Reflux Finding Score is also a useful tool for the standardization and search directed of signs of laryngopharyngeal reflux in patients assessed in the consultation of this service.
REFERENCES
Koufman JA. The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 1991;101:1-78.