PMID- 17171585 OWN - NLM STAT- MEDLINE DCOM- 20070223 LR - 20151119 IS - 0935-8943 (Print) IS - 0935-8943 (Linking) VI - 85 IP - 12 DP - 2006 Dec TI - [Diagnosis and treatment of laryngopharyngeal reflux]. PG - 919-24; quiz 925-6 AB - BACKGROUND: During the last decades an increased prevalence of reflux disease can be observed. Otolaryngologists play an increasing role in the treatment of patients suffering from laryngopharyngeal reflux (LPR). Typical symptoms for LPR are globus sensation, dysphagia, throat clearing, chronic cough and hoarseness. The most frequent laryngoscopic finding in patients suffering from LPR is a posterior commissure hypertrophy. LPR is confirmed by laryngoscopy, LPR-related laryngoscopy scoring, 24-hour dual-probe pH-monitoring, and by empiric trial with proton pump inhibitors (PPI). For therapy PPI-medication in a dosage of 40 mg BID for at least 3 months is successful in many patients. Additional lifestyle modifications can also have a positive effect. When medical management fails, further diagnostic procedures should be initiated. CONCLUSION: In patients suffering from unspecific laryngeal and respiratory symptoms LPR is an important differential diagnosis. FAU - Reichel, O AU - Reichel O AD - Klinik fur Hals-Nasen-Ohrenheilkunde, Ludwig-Maximilians-Universitat, Munchen. Oliver.Reichel@med.uni-muenchen.de FAU - Hagedorn, H AU - Hagedorn H FAU - Berghaus, A AU - Berghaus A LA - ger PT - Comparative Study PT - English Abstract PT - Journal Article PT - Review TT - Diagnostik und Therapie des laryngopharyngealen Reflux. PL - Germany TA - Laryngorhinootologie JT - Laryngo- rhino- otologie JID - 8912371 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Adult MH - Chronic Disease MH - Cough/etiology MH - Deglutition Disorders/etiology MH - Diagnosis, Differential MH - Esophageal pH Monitoring MH - Female MH - Fundoplication MH - Gastroesophageal Reflux/diagnosis MH - Hoarseness/etiology MH - Humans MH - Hydrogen-Ion Concentration MH - *Hypopharynx MH - Laryngeal Diseases/diagnosis MH - Laryngoscopy MH - Life Style MH - Male MH - Middle Aged MH - *Pharyngeal Diseases/diagnosis/therapy MH - Proton Pump Inhibitors MH - Surveys and Questionnaires MH - Time Factors RF - 19 EDAT- 2006/12/16 09:00 MHDA- 2007/02/24 09:00 CRDT- 2006/12/16 09:00 PHST- 2006/12/16 09:00 [pubmed] PHST- 2007/02/24 09:00 [medline] PHST- 2006/12/16 09:00 [entrez] AID - 10.1055/s-2006-925445 [doi] PST - ppublish SO - Laryngorhinootologie. 2006 Dec;85(12):919-24; quiz 925-6. doi: 10.1055/s-2006-925445.