2,665 results match your criteria: "Reflux Laryngitis"

Introduction: There is a paucity of literature on pre-adolescent paradoxical vocal fold motion (PVFM), PVFM is a sub-type of inducible laryngeal obstruction. Studies typically focus on older patients, however the discovery of this entity in pre-adolescent pediatric patients has led to more questions about how this entity manifests differently and is treated differently in younger populations. Initially considered psychosomatic and commonly mistaken for asthma, PVFM etiology is now thought to be associated underlying neurologic conditions and may have irritant triggers with proposed mechanisms related to laryngeal hypersensitivity.

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Reflux Disease in Singers: A Systematic Review.

J Voice

December 2024

Department of Computational Medicine and Neuropsychiatry, Faculty of Medicine, University of Mons, Mons, Belgium; Department of Clinical Sciences, Faculty of Medicine, University of Liège, Liège, Belgium.

Objective: To investigate the laryngopharyngeal reflux disease (LPRD) features in singers.

Methods: According to the PRISMA statements, two investigators searched the literature related to the prevalence of symptoms, findings, and clinical therapeutic outcomes of reflux in singers through a PubMed, Scopus, and Cochrane Library systematic review.

Results: Of the 91 identified studies, 18 publications met the inclusion criteria, accounting for 2288 singers and 1398 controls, respectively.

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Article Synopsis
  • Patients with refractory chronic cough (RCC) are increasingly visiting otolaryngology clinics, requiring better evaluation and management after standard treatments have failed.
  • This review highlights new treatment options for RCC, focusing on disrupting the hypersensitive cough reflex through various methods such as neuromodulators, nerve blockades, and behavioral therapies.
  • Understanding these emerging strategies is essential for improving treatment outcomes as more patients seek specialized care for RCC in otolaryngology.
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Background: Vocal fold leukoplakia (VFL) has a risk of malignant transformation, and the underlying mechanisms remain defined. It was assumed that laryngopharyngeal reflux (LPR) may contribute to the occurrence of VFL. Studies showed that sphingosine kinase 1 (Sphk1) was highly expressed in the gastroesophageal reflux-related gastrointestinal tumors.

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Article Synopsis
  • Laryngopharyngeal reflux disease (LPRD) is linked to various laryngeal disorders, plays a significant role in several throat diseases, and can reduce patients' quality of life while imposing medical and economic burdens.
  • The Reflux Symptom Index (RSI) is a self-administered tool used for screening LPRD, but studies on its feasibility and alternative diagnostic methods in clinics are lacking.
  • In a survey of 1,187 patients, the LPRD rate was found to be 7.92%, with higher incidence among smokers and drinkers, and "foreign body sensation in the throat" was the most reported symptom among those with positive LPRD.
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Article Synopsis
  • Laryngopharyngeal reflux (LPR) is a condition where stomach contents go back up into the throat, causing various symptoms; it’s essential to diagnose it accurately using tools like the Reflux Symptom Index (RSI) and Reflux Finding Score (RFS).
  • A study at Bangalore Medical College involving 90 patients aimed to assess the effectiveness of these scoring systems, finding that most patients improved significantly after two months of treatment with proton pump inhibitors and lifestyle changes.
  • Results showed a rapid decrease in both RSI and RFS scores over time, highlighting that RSI and RFS are valuable for managing LPR symptoms and signs effectively.
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Patients with Laryngopharyngeal Reflux(LPR) have chronic inflammation of the laryngeal mucosa leading to a high response state in the larynx, which may make the vocal fold movement too fast. This paper discusses the characteristics of vocal fold movement and voice onset by analyzing laryngeal high-speed videoendoscopy in patients with LPR. Forty patients with LPR were enrolled as LPR group.

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Pharyngology and laryngology is an important subspecialty of Otolaryngology Head and Neck Surgery. It involves congenital diseases, trauma and foreign bodies, inflammatory diseases, obstructive sleep apnea, benign lesions, laryngeal nerve and cricoarytenoid joint diseases, swallowing disorders, laryngopharyngeal reflux diseases, voice medicine, as well as laryngeal microsurgery and endoscopic surgical treatment of benign and malignant tumors of this area. The disease spectrum is wide and involves many surgical techniques and methods.

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Objective: The aim of this study was to estimate the level of knowledge, attitudes, and practices regarding laryngopharyngeal reflux (LPR) among primary healthcare (PHC) physicians in Saudi Arabia.

Methods: This quantitative cross-sectional study used an online-based questionnaire distributed to physicians in PHC facilities and hospitals in Saudi Arabia. The questionnaire consisted of four sections that provided data on demographics, knowledge, attitudes, and practices.

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We report the long term follow up of a now 66-year-old male with laryngo-tracheobronchial amyloidosis. The patient initially presented with dysphonia and dyspnoea. He was diagnosed with laryngeal reflux and asthma.

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Microbiota, Gut Health, and Laryngopharyngeal Reflux Disease.

Otolaryngol Clin North Am

October 2024

Charleston ENT and Allergy, 2295 Henry Tecklenburg Drive, Charleston, SC 29414, USA. Electronic address:

Recent advances in technology have allowed examination of microbial communities in efforts to classify microbiomes of "healthy" individuals. The gut and the oral cavity have been extensively researched but the upper airway (including the pharynx and larynx) has not received the same attention. This review details the emergence of microbiota as a field of interest and reviews existing evidence supporting a relationship between microbiome alterations and laryngopharyngeal reflux symptoms, as well as potential therapeutic interventions.

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Gastroesophageal reflux disease (GERD) frequently triggers respiratory conditions such as asthma and pneumonia. Inflammation occurs as a result of aspirated material, leading to symptoms such as cough, sputum production, chest discomfort from the involvement of the lower respiratory tract, and voice hoarseness owing to the involvement of the larynx. Repeated exposure to irritants can lead to fibrosis in the lungs.

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[Analysis of the efficacy of vocal cord botulinum toxin injection for refractory laryngeal contact granuloma].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi

October 2024

Department of Otorhinolaryngology Head and Neck Surgery of the Sixth Medical Center of PLA General Hospital, National Clinical Research Center for Otolaryngologic Diseases, Beijing 100048, China.

To observe the efficacy of vocal cord botulinum toxin type A injection in the treatment of refractory laryngeal contact granuloma and to analyze the factors affecting the curative effect. Fifty-two patients with refractory laryngeal contact granuloma who received vocal cord botulinum toxin type A injection under topical anesthesia from May 2021 to May 2023 were analyzed retrospectively. Among them, 51 were males and 1 was female, aged 22-66 (48.

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Asthma is a chronic lung condition that may be affected by numerous medical comorbidities. Such comorbidities can influence the presentation and even the severity of asthma. Alternatively, asthma may be misdiagnosed as a comorbidity when symptoms overlap.

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Advances in laryngopharyngeal reflux: Etiology, diagnosis, and management.

Ann N Y Acad Sci

November 2024

Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Article Synopsis
  • * Diagnosis and treatment of LPR can be challenging due to its diverse subtypes, but advanced monitoring techniques and specific therapies are available to tailor management plans.
  • * Ongoing research into LPR aims to improve understanding and develop new diagnostic and treatment strategies, including the use of pepsin inhibitors and comprehensive approaches to address laryngeal hypersensitivity.
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Objective: To investigate the correlation between anxiety, depression, and hemodynamic changes during office-based laryngeal surgery (OBLS).

Methods: All patients undergoing OBLS between February 2024 until July 2024 were invited to participate in the study. Participants had their vital signs recorded throughout the procedure at a 5-min interval.

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A rare cause of respiratory distress in preterm infants: a case report of acquired subglottic cysts.

Ital J Pediatr

October 2024

Departement of Mother and Child, Neonatal Intensive Care Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, 42123, Italy.

Article Synopsis
  • Subglottic cysts (SGCs) are rare but serious causes of breathing problems in premature infants, often linked to factors like male gender and invasive ventilation.
  • A case study details a premature male infant born at 25 weeks who developed SGCs after extended intubation, leading to severe airway obstruction treated by tracheotomy and cyst removal.
  • The findings highlight the importance of considering SGCs in similarly affected preterm infants, emphasizing the need for early diagnosis and intervention to improve outcomes.
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Coordination of Pharyngeal and Esophageal Phases of Swallowing.

J Neurogastroenterol Motil

October 2024

Dysphagia Research Laboratory, Division of Gastroenterology and Hepatology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.

Although swallowing has been reviewed extensively, the coordination of the phases of swallowing have not. The phases are controlled by the brainstem, but peripheral factors help coordinate the phases. The occurrence, magnitude, and duration of esophageal phase depends upon peripheral feedback activated by the bolus.

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To explore the differences in clinical presentation and therapeutic outcomes between vocal fold fibrocystic degeneration and other common benign lesions, such as vocal fold polyp and cyst. Vocal function was assessed before and after surgery in 10 cases of vocal fold fibrocystoids, 30 cases of vocal fold polyps and 10 cases of vocal fold cysts at Department of Voice Medicine, Xiamen University Zhongshan Hospital. The voice Assessments included GRBAS(G-scale), VHI-10 scale, Reflux Symptom Index(RSI) scale, stroboscope, acoustic objective analysis, and aerodynamics measurements.

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Inter-rater Reliability of the Reflux Sign Assessment-10 (RSA-10).

J Voice

October 2024

Haute Ecole Condorcet, Division of Speech Therapy, Saint-Ghislain, Belgium.

Objective: To evaluate the inter-rater reliability and internal consistency of the Reflux Sign Assessment-10 (RSA-10) among otolaryngologists and speech therapists with various experiences.

Methods: Six experts (2 otolaryngologists, 2 speech-therapists, and 2 speech-therapist students) rated 300 clinical images of oral, laryngeal, and pharyngeal signs from patients with laryngopharyngeal reflux disease diagnosis at the 24-hour hypopharyngeal-esophageal multichannel intraluminal impedance-pH monitoring. Inter-rater reliability and internal consistency were evaluated with Intraclass Correlation (ICC) and Cronbach-α.

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Article Synopsis
  • Postoperative complications from mediastinal goitre surgery can include issues like nerve damage and changes in swallowing and voice, with possible links to gastro-oesophageal reflux disease (GERD).
  • A case study presented a man in his 40s who, after total thyroidectomy for mediastinal goitre, developed heartburn and a laryngeal granuloma, which were effectively treated with vonoprazan.
  • The authors suggest that pressure changes post-surgery may increase gastric reflux, leading to GERD symptoms, thus highlighting the importance of managing these reflux issues after thyroid surgery.
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Objective: The association between gastroesophageal reflux disease (GERD) and laryngeal disorders remains debatable, although it has been the focus of extensive clinical and laboratory research. We conducted this study to obtain evidence on the association.

Study Design: Population-based cohort study.

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