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Updated: Mar 18, 2026

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
Laryngopharyngeal Reflux : Larynx on Fire
R Datta1, K Datta2, M D Venkatesh3
1Classified Specialist (ENT), Base Hospital Delhi Cantt, Delhi-10.
Laryngopharyngeal Reflux (LPR) occurs when stomach contents flow backward into the throat, causing hoarseness and throat irritation. Diagnosis involves clinical signs and 24-hour pH monitoring, with treatment focusing on lifestyle changes and medication.
Area of Science:
- Otolaryngology
- Gastroenterology
Background:
- Laryngopharyngeal Reflux (LPR) is characterized by the retrograde flow of gastric contents into the pharynx.
- This condition causes upper airway symptoms such as hoarseness, chronic throat irritation, and globus sensation.
- Laryngeal mucosa damage results from acid and pepsin, leading to inflammation and potential laryngeal disorders.
Purpose of the Study:
- To describe the clinical entity of Laryngopharyngeal Reflux (LPR).
- To outline diagnostic methods for LPR.
- To discuss current and potential future management strategies for LPR.
Main Methods:
- Clinical diagnosis based on patient symptoms and laryngeal examination.
- Confirmation of diagnosis using 24-hour pH monitoring.
- Review of current treatment approaches including lifestyle modifications, vocal hygiene, and pharmacotherapy.
Main Results:
- LPR is a common condition with distinct upper airway symptoms.
- Diagnosis relies on a combination of clinical presentation and objective pH monitoring.
- Effective management involves a multi-faceted approach.
Conclusions:
- LPR is a significant clinical issue impacting the upper airway.
- Accurate diagnosis is crucial for appropriate management.
- Ongoing research promises to enhance understanding and treatment of LPR.
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