Our experience in laryngeal forms of reflux disease

Abstract

Introduction: Reflux laryngitis is an inflammation of the rear third of the larynx caused by chronic chemical irritation with hydrochloric acid and digestive enzymes. That usualy happens at night, when due to the supine position of the body is pressed by the abdominal muscles squeeze the stomach as a result of which is amplified reflux. Typical symptoms include
hoarseness, a sensation of a lump, need to clear a troath and a nonproductive cough (laryngeal paresthesia). Acid reflux is a non necessary symptom in this condition. Approximately one third of all patients is not elevated acidity.
Material and method: We monitored for four years (2009-2012) 56 patients including 53 with reflux laryngitis and 3 with laryngeal granuloma with typical history of reflux disease manifestations such typical symptoms belching acid did not appear in 14 patients. and was diagnosed GERD (gastroesophageal reflux disease), resulting in gastritis, gastric ulcer, hiatal
hernia and failure of the lower esophageal sphincter.
Results: In the first group after 2 month etiological conservative treatment prescribed by a gastroenterologist, had a voice rehabilitation with very good effect. In 42 patients laryngeal paresthesias resolved completely. In the second group (laryngeal granuloma) is not observed significant interference complaints of patients which is necessary to conduct surgery. Two patients due to relapse need reoperation.
Conclusion: The leading therapy is the treatment of gastroesophageal
reflux disease from a gastroenterologist and ENT specialist and better collaboration between the two disciplines.