Videostroboscopy, Laryngopharyngeal Reflux, and Dysphonia: A Complex Relationship

Research output: Contribution to journalReview articlepeer-review

Abstract

The role of laryngoscopic examination in the diagnosis of reflux disease is controversial. Though some studies support exam findings such as laryngeal edema and erythema as supportive of a reflux diagnosis, and though many otolaryngologists continue to use these exam findings to establish a clinical diagnosis of laryngopharyngeal reflux (LPR), critical review of laryngoscopic exam has called this approach into question. The role of laryngoscopic exam as related to reflux may not be in establishing a reflux diagnosis, but instead in evaluating for other causes of the patient’s complaints. This is particularly important when the chief complaint is dysphonia, where videostroboscopy has been demonstrated to be a more effective approach in addressing dysphonia than anti-reflux medication prescribed on the basis of non-stroboscopic laryngeal exam. This article aims to critically analyze the association of LPR with dysphonia, examine how videostroboscopy interfaces with this association of LPR/dysphonia, and review current practice patterns in order to improve management of patients with dysphonia.

Original languageEnglish (US)
Pages (from-to)49-54
Number of pages6
JournalCurrent Otorhinolaryngology Reports
Volume4
Issue number1
DOIs
StatePublished - Mar 2016

Keywords

  • Dysphonia
  • Hoarseness
  • LPR
  • Videostroboscopy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery
  • Immunology and Allergy
  • Clinical Neurology

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