International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 1 , ISSUE 2 ( July-December, 2011 ) > List of Articles

RESEARCH ARTICLE

Videostroboscopy in Laryngopharyngeal Reflux Disorder

S Raghunandhan, Kiran Natarajan, S Raghunandhan, Jawahar Nagasundaram, Srividya Prashanth

Citation Information : Raghunandhan S, Natarajan K, Raghunandhan S, Nagasundaram J, Prashanth S. Videostroboscopy in Laryngopharyngeal Reflux Disorder. Int J Phonosurg Laryngol 2011; 1 (2):52-56.

DOI: 10.5005/jp-journals-10023-1013

Published Online: 01-12-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


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.


PDF Share
  1. Validity and reliability of the reflux symptom index (RSI). J Voice 2002;16:274-77.
  2. Perceptual and acoustic evaluation of individuals with laryngopharyngeal reflux pre- and post-treatment. J Voice 2003;17(4): 557-70.
  3. Laryngopharyngeal reflux: State of the art diagnosis and treatment. Otolaryngol Clinics of North America Feb 2000:151-61.
  4. Correlation between symptoms and laryngeal signs in laryngopharyngeal reflux: Laryngoscope 2005;115(11):1947-52.
  5. Perspectives in laryngopharyngeal reflux: An international survey. Laryngoscope 2002;112:1399-1402.
  6. Otolaryngol Head and Neck Surg 2003;128: 103-08.
  7. The reliability of assessment of endoscopic laryngeal findings of laryngopharyngeal reflux disease. Laryngoscope 2002;112:1019-21.
  8. Dysphonia and laryngopharyngeal reflux. Acta Otorhinolaryngol Ital 2004;24(1):13-19.
  9. Acoustic analysis findings in objective laryngopharyngeal reflux patients. J Voice 2007;21(2):203-10.
  10. Change of acoustic parameters before and after treatment in laryngopharyngeal reflux patients. Laryngoscope 2008;118(5):938-41.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.