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Updated: May 31, 2025
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Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
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Dysphonia and Laryngopharyngeal Reflux
H Steven Sims1, Nicole Blumenstein1
1Department of Otolaryngology-Head and Neck Surgery, University of Illinois Health and Hospital System, 1009 S. Wood Street, Suite 6C, Chicago, IL 60616, USA.
Otolaryngologic Clinics of North America
|January 24, 2025
Summary
Laryngopharyngeal reflux disease (LPRD) often causes dysphonia, requiring patient-centered care. Low-risk nutraceuticals offer clinical benefits and can be used alongside other treatments.
Area of Science:
- Otolaryngology
- Gastroenterology
- Speech-Language Pathology
Background:
- Dysphonia is a frequent symptom of laryngopharyngeal reflux disease (LPRD).
- Diagnosing LPRD can be challenging, complicating the treatment of nonspecific dysphonia.
- Multimodal, patient-centered care is essential for managing LPRD-related dysphonia.
Purpose of the Study:
- To highlight the importance of careful patient history, including cultural and lifestyle factors, in managing dysphonia related to LPRD.
- To discuss the role of surgical and nutraceutical interventions in LPRD management.
- To emphasize conservative treatment options for dysphonia in LPRD patients.
Main Methods:
- Review of current literature on LPRD and dysphonia management.
- Analysis of diagnostic challenges and treatment strategies.
- Evaluation of the efficacy and risks of various therapeutic approaches, including surgery and nutraceuticals.
Main Results:
- Careful patient history taking, considering cultural and lifestyle factors, is critical for effective management.
- Surgical management for acid reflux is not always indicated and carries risks, such as vagus nerve injury, potentially worsening dysphonia.
- Low-risk nutraceutical therapies show clinical benefit and are suitable for patients with polypharmacy or those on concurrent acid suppressive medication.
Conclusions:
- Effective management of LPRD-related dysphonia necessitates a comprehensive, individualized approach.
- Nutraceuticals represent a low-risk, beneficial therapeutic option for LPRD patients with dysphonia.
- Conservative management, including nutraceuticals, should be prioritized when appropriate, considering potential surgical risks.
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