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Laryngopharyngeal Reflux Prospective Study Analyzing Various Nonsurgical Treatment Modalities For LPR PDF
Laryngopharyngeal Reflux Prospective Study Analyzing Various Nonsurgical Treatment Modalities For LPR PDF
10.5005/jp-journals-10023-1026
Laryngopharyngeal Reflux: Prospective Study Analyzing Various Nonsurgical Treatment Modalities for LPR
ORIGINAL ARTICLE
PPIs has been found to be more effective than OD dosage.11 Reflux Symptom Index
The diagnosis of LPR is often difficult.10 The symptom
Within the last month, 0 = No problem
complex of LPR is seen in a no. of medical and surgical how did the following 5 = Severe problem
conditions of head and neck,10 and as a result this condition problems affect you?
cannot be diagnosed on symptoms alone. Laryngoscopic 1. Hoarseness or a problem 0 1 2 3 4 5
with your voice
findings such as erythema, edema, laryngeal granulomas
2. Clearing your throat 0 1 2 3 4 5
and interarytenoid hypertrophy have been used to establish 3. Excess throat mucus or 0 1 2 3 4 5
the diagnosis; but these findings are very nonspecific, and postnasal drip
4. Difficulty swallowing food, 0 1 2 3 4 5
have been described in the majority of asymptomatic liquids or pills
subjects undergoing laryngoscopy.5 A diagnosis can be 5. Coughing after you eat or 0 1 2 3 4 5
lying down
made with a thorough medical history, general examination
6. Breathing difficulties or 0 1 2 3 4 5
with emphasis on gastroenterological examination and chest choking episodes
examination, complete head and neck examination. In our 7. Troublesome or 0 1 2 3 4 5
annoying cough
study, a diagnostic criteria was established to diagnose LPR. 8. Sensations of something 0 1 2 3 4 5
The findings suggestive of LPR include posterior laryngitis, sticking in your throat or a
lump in your throat
pseudosulcus vocalis, ventricular effacement, mucosal
9. Heartburn, chest pain, 0 1 2 3 4 5
hypertrophy, laryngeal pachydermia (granularity, cobble- indigestion or stomach
stone), ulcers, granulomas, scarring and stenosis.5 acid coming up
6
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Laryngopharyngeal Reflux: Prospective Study Analyzing Various Nonsurgical Treatment Modalities for LPR
tyline was used in a dosage of 10 mg bid. Mean scores for 150 patients
• Group A: These patients were put on bid dosage of
esomeprazole 20 mg and domeperidone 10 mg. The scores of RSI and RFS for individual groups as
• Group B: In addition to esomeprazole and domeperidone observed in this study is tabulated and observed p-value
(bid), these patients were counseled about the dietary calculated to show the significance of the treatment modality
and lifestyle modifications. on symptoms and signs of LPR.9
• Group C: These patients were put on a combination of Group A Pretreatment Score after 2 = (o-e)2/e p-value
esomeprazole and domeperidone: Amitriptyline 10 mg score 4 months of
treatment
bid: and dietary and lifestyle modifications.
RSI 20.67 8.9 6.70 <0.01
Patients who had symptomatic improvement and whose RFS 15.00 6.5 4.81 <0.05
scores of RSI posttreatment were <10 and RFS <5 were
Group B Pretreatment Score after 2 = (o-e)2/e p-value
taken as to have a significant improvement in symptoms12 scores 4 months of
at 4 months. treatment
RSI 23.3 8.6 9.27 <0.01
RFS 16.0 6.4 5.76 <0.05
RESULTS, ANALYSIS AND STATISTICS
Group C Pretreatment Score after 2 = (o-e)2/e p-value
This study analyzed a group of 100 patients, divided into scores 4 months of
three groups. Each group was subjected to a particular treatment
treatment modality. In group A, patients were put on a bid RSI 21.3 10.8 5.176 <0.05
dosage of esomeprazole and domeperidone. Twenty three RFS 15.0 6.40 4.93 <0.05
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