Refluxo laringofaringeano: estudo prospectivo correlacionando achados laringoscópicos precoces com a phmanometria de 24 horas de 2 canais

Rev Bras Otorrinolaringol.
V.68, n.4, 527-31, jul./ago. 2002

ARTIGO ORIGINAL
ORIGINAL ARTICLE

Refluxo laringofaringeano: estudo prospectivo correlacionando achados laringoscópicos precoces com a phmanometria de 24 horas de 2 canais

Laringopharingeal reflux: prospective study that compare early laryngoscopic finds and 2 channel and 24 hours esophageal testing O. Marambaia1,N. A. Andrade2,
D.G. Varela3, M.C. Juncal3

Palavras-chave: refluxo, pHmetria, laringoscopia, laringite, disfonia, tosse.
Key words: reflux, pHmetry, laryngoscopy, laringitis, hoarseness, cough.

Resumo / Summary

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ntroduction: Laryngeal symptoms from the gastroesophageal reflux are increasing and being more common. Studies have shown high association with e “globus”, cronic hoarseness and cronic cough. The diagnosis and treatment are different from the well known gastroesophageal reflux disease.
Laryngeal endoscopy is the first exam to be done in laryngeal pacients. Laryngeal redness, thickness of space between arytenoids, granuloma, polyp, Reinke’s swelling, subglottic’s stenosis need a complete clinical investigation. 24 hour pHmetry and manometry are the choice, because its sensibility and espicificity. Aim: compare early clinical and laryngeal finds of laringopharingeal reflux with 24 hours pHmetry and manometry results. Evaluate responses to clinical terapy and dietary.
Study design: Clinical prospective: Material and Method: adults with those cronic complaints: dry cough, “globus”, to hawk, sialorrhoea, hoarseness, halitosis and choking. Pacients with another patology from airways were excluded. The laryngoscopy was important to select only recent lesions to do 24 hour pHmetry and manometry, and after if necessary try clinical treatment. Results: 83,6% had patologic reflux. More frequent symptoms were: hoarseness (72,5%), to hawk (60,8%), to cough (29,4%), “globus” (23,5%) and sialorrhoea (19,6%).
Frequency of associated symptoms: two