He added that the diagnosis of reflux laryngitis "based on laryngeal sign is unpredictable.
Vaezi and his associates enrolled patients with suspected reflux laryngitis based on one or more symptoms: throat clearing, cough, globus, sore throat, or hoarseness for more than 3 consecutive months, or a score of at least 5 on a laryngeal sign index based on a videostroboscopic evaluation of erythema and other laryngeal signs suggesting reflux etiology.
By the end of the study, 42% of patients in the esomeprazole group reported improvement of suspected reflux laryngitis symptoms, compared with 46% of patients in the placebo group, while reported resolution of symptoms occurred in 14.
The findings suggest that patients with reflux laryngitis lack a certain amount of protective effect that saliva normally provides to the digestive tract via elements like EGF and bicarbonate.
For the study, 26 patients with reflux laryngitis underwent upper digestive tract endoscopies, 24-hour double-probe pH-metry, and manometry.
and its sequelae: The diagnostic role of 24-hour pH monitoring.
The arytenoids were severely erythematous and moderately edematous; the interarytenoid region exhibited a severe degree of posterior cobblestoning, suggestive of reflux laryngitis (figure 1).
His arytenoids were mildly erythematous and mildly to moderately edematous, and there was a mild degree of pachydermia laryngis in the interarytenoid region, suggestive of reflux laryngitis.
The reflux laryngitis was treated with lansoprazole at 30 mg twice daily, as well as with lifestyle and diet modifications.
The woman was evaluated by an otolaryngologist, who diagnosed reflux laryngitis, prescribed lansoprazole twice daily, and recommended voice rest.
The arytenoid cartilage was mildly erythematous and edematous, and there was a mild to moderate degree of posterior cobblestoning consistent with reflux laryngitis.
In addition, reflux laryngitis
was seen (erythema, edema, and cobblestoning of the posterior portion of the larynx).