Title: Role of proton Pump Inhibitors in the Management of Laryngopharyngeal Reflux
Authors: Vellavedu Umapathy Shanmugam, Gurusamy Satheeshkumar, Ruta Shanmugam, Balaji Swaminathan, Premnivas
DOI: https://dx.doi.org/10.18535/jmscr/v7i10.159
Abstract
Back Ground: The study was conducted to observe different signs and symptoms of Laryngopharyngeal reflux and its management and outcome with proton pump inhibitor therapy.
Methods: This prospective Study was conducted at Rajah Muthiah Medical College Hospital in the department of Otorhinolaryngology, from October 2018 to September 2019, among 30 Patients who presented to the hospital with symptoms and signs of Laryngopharyngeal reflux disease. The different signs and symptoms of Laryngopharyngeal reflux and the role of proton pump inhibitors in the management using Reflux Finding Score (RFS) and Reflux Symptom Index (RSI) were studied.
Results: The mean age group was 43.5 years. Foreign body sensation in the throat and frequent clearing of throat were most common presenting symptoms and Erythema of the arytenoids along with posterior commisure hypertrophy and ventricular obliteration were the common finding in videolaryngoscopy in patients of Laryngopharyngeal reflux. There was a significant improvement in the reflux symptom index and reflux finding score following treatment with proton pump inhibitors.
Conclusion: Proton pump inhibitors is an effective treatment modality in the management of laryngopharyngeal reflux. The reflux finding score and reflux symptom index of Wake Forest University are valuable tools for diagnosing LPR.
Keywords: Laryngopharyngeal reflux, GERD, Proton pump inhibitors.
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