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Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
GERD is also common among VCD patients, but only some experience an improvement in VCD symptoms when GERD is treated. [5] [6] Other causes of laryngeal hyperresponsiveness include inhalation of toxins and irritants, cold and dry air, episodic croup and laryngopharyngeal reflux (LPR). [6]
Laryngotracheal stenosis is an umbrella term for a wide and heterogeneous group of very rare conditions. The population incidence of adult post-intubation laryngotracheal stenosis which is the commonest benign sub-type of this condition is approximately 1 in 200,000 adults per year. [10]
A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
Other causes of chest pain such as heart disease should be ruled out before making the diagnosis. [42] Another kind of acid reflux, which causes respiratory and laryngeal signs and symptoms, is called laryngopharyngeal reflux (LPR) or extraesophageal reflux disease (EERD).
In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
Multiple factors cause the muscles of the larynx to become tense. This changes the position of the larynx and affects the cartilaginous structures within the larynx leading to abnormal phonation. [3] There is increased muscle activity in MTD due to personal temperament, increased vocal use, and underlying medical or physical causes. [3]
Hoarseness is the most common presenting symptom, while pain, stridor or laryngeal obstruction are unusual complaints. [5] They may cause significant respiratory obstruction leading to dyspnoea or respiratory distress [3] and even cyanosis, and jugular and epigastric retractions. [1]