What about reflux laryngitis?

summary

Reflux laryngopharyngitis, also known as laryngopharyngeal reflux (LPR), is a disease that has been widely recognized by otolaryngologists in recent years. In fact, it is very common in clinical work. However, due to the lack of previous understanding, the disease has been misdiagnosed as common chronic laryngopharyngitis for a long time. There is no treatment for the cause. What about reflux laryngopharyngitis? Let's talk about it

What about reflux laryngitis?

Pharyngeal foreign body sensation or globus sensation; Hoarseness and dysphonia; Chronic cough: mostly irritative dry cough; There are also clear throat, sore throat, dyspnea, halitosis, increased throat mucous secretions, dry throat and other symptoms, of which the first three are considered to be particularly common.

There are some specific manifestations of laryngopharyngeal reflux under laryngoscope, such as edema between arytenoids, pseudovocal groove, edema erythema in posterior cricoid area, mucosal hypertrophy, vocal cord polyps and ulcers, shallowing or disappearing of laryngeal chamber, pebble like changes in pharynx, diffuse laryngitis, granuloma, subglottic stenosis, cricoarytenoid joint stiffness, etc., which are considered to occur frequently in patients with laryngopharyngeal reflux. However, there is still a lack of specific microscopic findings that can be used for definite diagnosis.

At present, it is considered that the movable multi-channel intracavitary impedance and pH monitoring equipment is a better diagnostic method for laryngopharyngeal reflux, because it can combine the impedance change and pH monitoring of different flowing substances (gas, liquid, mass) between two metal electrodes, and can have a complete description of acid reflux, non acid reflux, liquid, gas, etc., and record objectively and truly.

matters needing attention

They include avoiding eating before going to bed, raising the head of bed, reducing dinner intake, avoiding overeating, smoking cessation, strong tea, coffee and high-fat food, sweets, acidic fruits (oranges, waxberry, etc.), weight loss, etc. the former two are considered to be particularly important. Even studies have found that simple lifestyle improvement can significantly relieve throat discomfort, It is suggested that the improvement of life style should be the main treatment.