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Updated: May 29, 2026
06:46
Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
[Diagnostic and treatment algorithm for pharyngolaryngeal reflux].
Monica Voineag1, V Drug, L L Indrei
1Universităţii de Medicină şi Farmacie Gr. T. Popa Iaşi Centrul de Diagnostic şi Tratament Dr. Victor Babeş Bucureşti Universitatea de Medicină şi Farmacie Gr. T. Popa Iaşi.
Summary
Pharyngolaryngeal reflux (PLR) is hard to diagnose due to varied symptoms and tests. This study proposes a diagnostic and treatment algorithm, starting with symptom scores and empirical treatment, followed by objective testing.
Area of Science:
- Otolaryngology
- Gastroenterology
- Digestive Health
Context:
- Pharyngolaryngeal reflux (PLR) involves stomach content flowing into the throat and larynx.
- Diagnosing PLR is complex due to atypical symptoms and limitations of traditional gastrointestinal tests.
- A lack of a standardized diagnostic algorithm complicates PLR identification.
Purpose:
- To establish a diagnostic and treatment algorithm for pharyngolaryngeal reflux.
- To validate symptom-based scores for initial PLR diagnosis.
- To outline a stepwise approach for confirming PLR events.
Summary:
- Initial PLR diagnosis utilizes the Reflux Symptom Index and Reflux Findings Score.
- A 3-month empirical medical treatment, guided by laryngofiberscopy findings, is the first step.
- Objective confirmation involves multichannel intraluminal impedance and pH monitoring.
- Proton pump inhibitors are the primary treatment, requiring aggressive and prolonged use for PLR.
Impact:
- Provides a structured approach to diagnosing and managing PLR.
- Improves diagnostic accuracy by combining subjective and objective measures.
- Highlights the need for extended and intensive treatment protocols for PLR patients.
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