Original Articles
To compare the changes in reflux finding score (R.F.S.) and reflux symptom index (R.S.I.) in patients of laryngopharyngeal reflux (L.P.R.), before & after treatment | |
Dr. Ankur Gupta, Dr. Digvijay Singh Nargave, Dr. Konika Jain, Dr. Lavi Ukawat | |
Introduction: LARYNGOPHARYNGEAL REFLUX (LPR) is the result of retrograde flow of gastric contents to the laryngopharynx, where it comes in contact with tissues of the upper aero digestive tract.LPR is caused by the direct effect of gastric refluxate, damaging the laryngeal epithelium, or through the vagal nerve-mediated induction of laryngeal reflexes (chronic cough, bronchospasm) from the irritation of the esophagus by refluxed gastric contents.The study aimed to determine the utility of reflux finding score (RFS) and reflux symptom index (RSI) in the diagnosis of laryngopharyngeal reflux disease (LPRD). Method: The study aimed to determine the utility of reflux finding score (RFS) and reflux symptom index (RSI) in the diagnosis of laryngopharyngeal reflux disease (LPRD). Result: Most of the patients were found in the age group of 21-40 year and 41-60 year.Out of 1207 cases, 546(45.2%) were male and 661(54.8%) were female. Out of 1233 control, 637(51.7%) were male and 596(48.3%) were female. Median RSI score was 23.0 & 10.0 among cases & control.Mean RSI score was 23.840±6.74, 16.934±4.59, 11.967±3.89 & 8.104±4.20 at 0 days, 15 days, 45 days & 90 days during follow up. Conclusion: RFS and RSI have demonstrated their role in establishing the diagnosis of LPRD.we had concluded that RSI and RFS scoring systems were useful in early diagnosis of LPR and to see improvement in patients with treatment over weeks. |
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