Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-26T03:23:03.919Z Has data issue: false hasContentIssue false

The effect of anti-reflux treatment on subjective voice measurements of patients with laryngopharyngeal reflux

Published online by Cambridge University Press:  03 May 2013

T J Beech*
Affiliation:
Department of ENT, City Hospital, Birmingham, UK
G Campbell
Affiliation:
Department of Speech and Language Therapy, City Hospital, Birmingham, UK
A L McDermott
Affiliation:
ENT Department, Birmingham Children's Hospital, UK
A J Batch
Affiliation:
Department of ENT, City Hospital, Birmingham, UK
*
Address for correspondence: Mr T J Beech, ENT Department, City Hospital, Birmingham B18 7QH, UK E-mail: [email protected]

Abstract

Objective:

To assess the impact of anti-reflux treatment and speech therapy on subjective voice measurements of patients with laryngopharyngeal reflux.

Methods:

This paper reports a prospective study of patients seen in a voice clinic over a three-year period who were being treated for laryngopharyngeal reflux. Patients were assessed at presentation using the reflux symptom index and voice symptom scale, and were reassessed at three months and six months post-treatment. Treatment entailed twice daily proton pump inhibitor therapy and speech therapy.

Results:

The study comprised 74 patients. The reflux symptom index and voice symptom scale scores significantly improved following treatment at both three and six months. There was a correlation between improved reflux symptom index scores and improved voice symptom scale scores.

Conclusion:

Treatment of laryngopharyngeal reflux with twice daily proton pump inhibitors and speech therapy resulted in improved subjective voice measurements for patients.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Koufman, JA. The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 1991;101:178CrossRefGoogle Scholar
2Koufman, JA, Amin, MR, Panetti, M. Prevalence of reflux in 113 consecutive patients with laryngeal and voice disorders. Otolaryngol Head Neck Surg 2000;123:385–8CrossRefGoogle ScholarPubMed
3Belafsky, PC, Postma, GN, Koufman, JA. Validity and reliability of the reflux symptom index (RSI). J Voice 2002;16:274–7CrossRefGoogle ScholarPubMed
4Sen, P, Georgalas, C, Bhattacharyya, AK. A systematic review of the role of proton pump inhibitors for symptoms of laryngopharyngeal reflux. Clin Otolaryngol 2006;31:20–4CrossRefGoogle ScholarPubMed
5Karkos, PD, Wilson, JA. Empiric treatment of laryngopharyngeal reflux with proton pump inhibitors: a systematic review. Laryngoscope 2006;116:144–8CrossRefGoogle ScholarPubMed
6Shaw, GY, Searl, JP, Young, JL, Miner, PB. Subjective, laryngoscopic, and acoustic measurements of laryngeal reflux before and after treatment with omeprazole. J Voice 1996;10:410–18CrossRefGoogle ScholarPubMed
7Shaw, GY, Searl, JP. Laryngeal manifestations of gastroesophageal reflux before and after treatment with omeprazole. South Med J 1997;90:1115–22CrossRefGoogle ScholarPubMed
8Hamdan, AL, Sharara, AI, Younes, A, Fuleihan, N. Effect of aggressive therapy on laryngeal symptoms and voice characteristics in patients with gastroesophageal reflux. Acta Otolaryngol 2001;121:868–72Google Scholar
9Selby, J. Perceptual and acoustic evaluation of individuals with laryngopharyngeal reflux pre- and post-treatment. J Voice 2003;17:557–70CrossRefGoogle ScholarPubMed
10Fass, R, Noelck, N, Willis, MR, Navarro-Rodriguez, T, Wilson, K, Powers, J et al. The effect of esomeprazole 20 mg twice daily on acoustic and perception parameters of the voice in laryngopharyngeal reflux. Neurogastroenterol Motil 2010;22:134–45CrossRefGoogle ScholarPubMed
11Park, J-O, Shim, M-R, Hwang, Y-S, Cho, K-J, Joo, Y-H, Cho, J-H et al. Combination of voice therapy and antireflux therapy rapidly recovers voice-related symptoms in laryngopharyngeal reflux patients. Otolaryngol Head Neck Surg 2012;146:92–7CrossRefGoogle ScholarPubMed
12Wilson, JA, Webb, A, Carding, PN, Steen, IN, MacKenzie, K, Deary, IJ. The Voice Symptom Scale (VoiSS) and the Vocal Handicap Index (VHI): a comparison of structure and content. Clin Otolaryngol Allied Sci 2004;29:169–74CrossRefGoogle ScholarPubMed
13Vashani, K, Murugesh, M, Hattiangadi, G, Gore, G, Keer, V, Ramesh, VS et al. Effectiveness of voice therapy in reflux-related voice disorders. Dis Esophagus 2010;23:2732CrossRefGoogle ScholarPubMed