Revue de laryngologie - otologie - rhinologie · 2008
[Correlation between laryngoscopic examination and the gastroesophagial reflux in dysphonic patient].
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Welby-Gieusse M, Woisard V, Calas M, Serrano E
Аннотация
OBJECTIVES: The gastro-esophageal reflux disease is responsible of oto-rhino-laryngological symptoms included dysphonia. We studied the relationship between reflux disease and dysphonia. The research for the prevalence of reflux disease, in a dysphonic population, has been performed by a clinical and laryngoscopic survey.
METHODS: 175 patients were included prospectively. Each patient replies to the questionnaire and see the physician to do a laryngoscopic examination during the same time. A physician jury sees all videos to determine gastro-oesophagial reflux disease laryngoscopic signs.
RESULTS: Statistically significant correlations were found for vocal oedema and posterior hypertrophia in relation with reflux.
CONCLUSION: We have pointed out that laryngoscopy is not an adequate diagnosis tool, because it is operator dependant. Nevertheless the diagnosis of gastro-esophageal reflux disease, regarding the vocal symptoms, is proposed when associated with clinic reflux signs (pyrosis).
METHODS: 175 patients were included prospectively. Each patient replies to the questionnaire and see the physician to do a laryngoscopic examination during the same time. A physician jury sees all videos to determine gastro-oesophagial reflux disease laryngoscopic signs.
RESULTS: Statistically significant correlations were found for vocal oedema and posterior hypertrophia in relation with reflux.
CONCLUSION: We have pointed out that laryngoscopy is not an adequate diagnosis tool, because it is operator dependant. Nevertheless the diagnosis of gastro-esophageal reflux disease, regarding the vocal symptoms, is proposed when associated with clinic reflux signs (pyrosis).