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Updated: Nov 19, 2025
Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
A novel scoring system for evaluating laryngopharyngeal reflux
Lukas Horvath1, Patricia Hagmann2, Emanuel Burri2
1Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Baselland, Liestal and University Hospital of Basel, Basel, Switzerland.
A new scoring system effectively evaluates laryngopharyngeal reflux (LPR) using subjective and objective measures. This simple tool aids in diagnosing LPR, improving patient management in clinical practice.
Area of Science:
- Otolaryngology
- Gastroenterology
- Diagnostic Medicine
Background:
- Laryngopharyngeal reflux (LPR) is a prevalent condition without a universally accepted diagnostic standard.
- Accurate diagnosis of LPR is crucial for effective patient management and treatment.
Purpose of the Study:
- To develop and validate a straightforward and dependable scoring system for assessing LPR.
- The system integrates both subjective patient-reported symptoms and objective clinical findings.
Main Methods:
- A retrospective analysis of 124 patients with suspected LPR symptoms.
- Utilized Reflux Symptom Index (RSI), Reflux Finding Score (RFS), oropharyngeal pH monitoring (PHM), and transnasal esophagoscopy (TNE).
- A novel scoring system was applied to rate the combined diagnostic data.
Main Results:
- The developed Horvath Score identified severe LPR (4-5) in 61% of patients (n=76).
- Non-severe LPR (2-3) was observed in 31% (n=38), and no LPR (0-1) in 8% (n=10).
- The scoring system demonstrated effectiveness in categorizing LPR severity based on combined diagnostic methods.
Conclusions:
- The proposed scoring system is a simple and reliable method for evaluating LPR in clinical settings.
- This diagnostic tool has the potential to directly influence and improve patient care for LPR.
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