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Corresponding Author

Shaimaa Abd Elmonaem Saleh Abd Elkader

Document Type

Original Article

Abstract

Background: Laryngeal symptoms like coughing, hoarseness, dysphagia, Globus, and sore throat are typical manifestations of stomach acid reflux that travels beyond the esophagus and into the respiratory organs.

Aim and objectives: To evaluate the relation and the effect of the upper endoscopic finding on the laryngeal lesion.

Patients and methods: This study was conducted on 50 patients who presented to the ENT and the hepatogastroentrology departments at Al Zahraa University Hospital.

Results: Reflux finding scores among studied patients ranged from 8 to 12, with a median of 10 (9 to 11). Subglottic edema was absent, while ventricular edema was partial in all cases. Erythema was at artenoids only in 68.0%) of cases and diffuse in 32.0%. Vocal fold edema was mild (14.0%), moderate (12.0%), severe (26.0%), and polypoid (48.0%) in some cases. Diffuse laryngeal edema was mild in all cases. There was a statistically significant incidence of GERD (p-value 0.040). In patients with laryngeal lesions, 8.3% had VC polyps, and 11.1% had VC nodules. 50% of patients with VC cancer had GERD. 18% of patients had oesophagitis with different laryngeal lesions. Two patients had hiatal hernias; 1 had VC polyp, and the second had Renikes edema.

Conclusion: In many cases, patients who suffer from chronic laryngitis also have gastroesophageal reflux disease (GERD). This ailment is commonly referred to as laryngopharyngeal reflux by ENT doctors. Patients with laryngeal lesions had a significantly higher incidence of gastroesophageal reflux disease.

Keywords

Laryngeal Lesions; Upper Endoscopic Finding; Gastroesophageal Reflux Disease

Subject Area

ENT

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