Characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal reflux
Introduction: Many laryngeal-related problems have been attributed to laryngopharyngeal reflux including dysphonia, frequent throat clearing, chronic cough, and globus sensation. However, there is still controversy regarding diagnosis and clinical presentation of this disorder. Objective: The main o...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-03-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S180886941830689X |
| _version_ | 1818456525552746496 |
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| author | Tamer A. Mesallam Abdulsalam A. Baqays |
| author_facet | Tamer A. Mesallam Abdulsalam A. Baqays |
| author_sort | Tamer A. Mesallam |
| collection | DOAJ |
| description | Introduction: Many laryngeal-related problems have been attributed to laryngopharyngeal reflux including dysphonia, frequent throat clearing, chronic cough, and globus sensation. However, there is still controversy regarding diagnosis and clinical presentation of this disorder. Objective: The main objective of this study is to describe laryngopharyngeal reflux characteristics of different reflux position patterns in laryngopharyngeal reflux patients diagnosed with oropharyngeal pH monitoring. Methods: A retrospective chart review was conducted for 161 laryngopharyngeal reflux patients diagnosed with 24 h oro-pharyngeal pH monitoring. Study subjects were categorized into upright and supine laryngopharyngeal reflux groups based on the pH results. The two groups were compared regarding the clinical presentation and pH characteristics. Results: Significant higher rates of upright laryngopharyngeal reflux position than supine laryngopharyngeal reflux position (P < 0.0001) were reported among the study group. Reflux symptoms index results were significantly higher in the upright larybgopharyngeal reflux group compared to the supine laryngopharyngeal reflux group. 24 h oropharyngeal pH measurements composite Ryan score was significantly higher in the upright group compared to the supine group (P < 0.0001). No significant difference was found between the upright and supine laryngopharyngeal reflux groups regarding the frequency of clinical presentation or voice handicap index ratings. Conclusion: Laryngopharyngeal reflux was found to be more prevalent occurring in the upright position among the study group. Reflux-related characteristics including pH parameters were more evident in the upright laryngopharyngeal reflux position. |
| first_indexed | 2024-12-14T22:28:03Z |
| format | Article |
| id | doaj.art-5c486fca976e452fa297a9f0ede4cd3c |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-12-14T22:28:03Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-5c486fca976e452fa297a9f0ede4cd3c2022-12-21T22:45:19ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942021-03-01872200204Characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal refluxTamer A. Mesallam0Abdulsalam A. Baqays1King Saud University, Department of Otolaryngology, Head and Neck Surgery, Riyadh, Saudi Arabia; King Saud University, Otolaryngology Department, Research Chair of Voice, Communication, and Swallowing Disorders, Riyadh, Saudi Arabia; Corresponding author.King Saud University, Department of Otolaryngology, Head and Neck Surgery, Riyadh, Saudi ArabiaIntroduction: Many laryngeal-related problems have been attributed to laryngopharyngeal reflux including dysphonia, frequent throat clearing, chronic cough, and globus sensation. However, there is still controversy regarding diagnosis and clinical presentation of this disorder. Objective: The main objective of this study is to describe laryngopharyngeal reflux characteristics of different reflux position patterns in laryngopharyngeal reflux patients diagnosed with oropharyngeal pH monitoring. Methods: A retrospective chart review was conducted for 161 laryngopharyngeal reflux patients diagnosed with 24 h oro-pharyngeal pH monitoring. Study subjects were categorized into upright and supine laryngopharyngeal reflux groups based on the pH results. The two groups were compared regarding the clinical presentation and pH characteristics. Results: Significant higher rates of upright laryngopharyngeal reflux position than supine laryngopharyngeal reflux position (P < 0.0001) were reported among the study group. Reflux symptoms index results were significantly higher in the upright larybgopharyngeal reflux group compared to the supine laryngopharyngeal reflux group. 24 h oropharyngeal pH measurements composite Ryan score was significantly higher in the upright group compared to the supine group (P < 0.0001). No significant difference was found between the upright and supine laryngopharyngeal reflux groups regarding the frequency of clinical presentation or voice handicap index ratings. Conclusion: Laryngopharyngeal reflux was found to be more prevalent occurring in the upright position among the study group. Reflux-related characteristics including pH parameters were more evident in the upright laryngopharyngeal reflux position.http://www.sciencedirect.com/science/article/pii/S180886941830689XLPR patternsUpright LPRSupine LPROro-pharyngeal pH monitoring |
| spellingShingle | Tamer A. Mesallam Abdulsalam A. Baqays Characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal reflux Brazilian Journal of Otorhinolaryngology LPR patterns Upright LPR Supine LPR Oro-pharyngeal pH monitoring |
| title | Characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal reflux |
| title_full | Characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal reflux |
| title_fullStr | Characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal reflux |
| title_full_unstemmed | Characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal reflux |
| title_short | Characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal reflux |
| title_sort | characteristics of upright versus supine reflux pattern in patients with laryngopharyngeal reflux |
| topic | LPR patterns Upright LPR Supine LPR Oro-pharyngeal pH monitoring |
| url | http://www.sciencedirect.com/science/article/pii/S180886941830689X |
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