Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-28T05:25:31.674Z Has data issue: false hasContentIssue false

Laryngeal sensory testing in the assessment of patients with laryngopharyngeal reflux

Published online by Cambridge University Press:  26 October 2009

O T Dale*
Affiliation:
Derby Voice Clinic, Department of ENT Surgery, Derbyshire Royal Infirmary, Derby, UK
O Alhamarneh
Affiliation:
Derby Voice Clinic, Department of ENT Surgery, Derbyshire Royal Infirmary, Derby, UK
K Young
Affiliation:
Derby Voice Clinic, Department of ENT Surgery, Derbyshire Royal Infirmary, Derby, UK
S Mohan
Affiliation:
Derby Voice Clinic, Department of ENT Surgery, Derbyshire Royal Infirmary, Derby, UK
*
Address for correspondence: Mr Oliver T Dale, Department of ENT Surgery, Musgrove Park Hospital, Taunton TA1 5DA, UK. Fax: 01332347141 E-mail: [email protected]

Abstract

Laryngopharyngeal reflux is commonly encountered in the ENT out-patient setting. It leads to impaired sensory capacity of the laryngeal mucosa. The sensory integrity of the laryngopharynx can be evaluated through endoscopic administration of pulsed air, which stimulates the laryngeal adductor reflex. The pressure of air needed to elicit this reflex indicates the degree of sensory impairment. Such laryngeal sensory testing gives a quantifiable means of assessment in patients with laryngopharyngeal reflux, and can be used to measure the response to treatment. Laryngeal sensory testing is safe and well tolerated by patients.

Type
Short Communication
Copyright
Copyright © JLO (1984) Limited 2009

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, Aviv, JE, Casiano, RR, Shaw, GY. Laryngopharyngeal reflux: position statement of the committee on speech, voice, and swallowing disorders of the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngol Head Neck Surg 2002;127:32–5CrossRefGoogle Scholar
3Maronian, NC, Azadeh, H, Waugh, P, Hillel, A. Association of laryngopharyngeal reflux disease and subglottic stenosis. Ann Otol Rhinol Laryngol 2001;110:606–12CrossRefGoogle ScholarPubMed
4Postma, GN. Ambulatory pH monitoring methodology. Ann Otol Rhinol Laryngol Suppl 2000 Oct;184:10–4CrossRefGoogle ScholarPubMed
5Karkos, PD, Wilson, JA. Empiric treatment of laryngopharyngeal reflux with proton pump inhibitors: a systematic review. Laryngoscope 2006;116:144–8CrossRefGoogle ScholarPubMed
6Aviv, JE, Martin, JH, Keen, MS, Debell, M, Blitzer, A. Air pulse quantification of supraglottic and pharyngeal sensation: a new technique. Ann Otol Rhinol Laryngol 1993;102:777–80CrossRefGoogle ScholarPubMed
7Aviv, JE, Martin, JH, Kim, T, Sacco, RL, Thomson, JE, Diamond, B et al. Laryngopharyngeal sensory discrimination testing and the laryngeal adductor reflex. Ann Otol Rhinol Laryngol 1999;108:725–30Google ScholarPubMed
8Aviv, JE, Liu, H, Parides, M, Kaplan, ST, Close, LG. Laryngopharyngeal sensory deficits in patients with laryngopharyngeal reflux and dysphagia. Ann Otol Rhinol Laryngol 2000;109:1000–6CrossRefGoogle ScholarPubMed
9Cunningham, JJ, Halum, SL, Butler, SG, Postma, GN. Intraobserver and interobserver reliability in laryngopharyngeal sensory discrimination thresholds: a pilot study. Ann Otol Rhinol Laryngol 2007;116:582–8CrossRefGoogle ScholarPubMed
10Aviv, JE, Kim, T, Thomson, JE, Sunshine, S, Kaplan, S, Close, LG. Fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST) in healthy controls. Dysphagia 1998;13:8792CrossRefGoogle ScholarPubMed
11Aviv, JE, Murry, T, Zschommler, A, Cohen, M, Gartner, C. Flexible endoscopic evaluation of swallowing with sensory testing: patient characteristics and analysis of safety in 1,340 consecutive examinations. Ann Otol Rhinol Laryngol 2005;114:173–6CrossRefGoogle Scholar
12Aviv, JE, Kaplan, ST, Thomson, JE, Spitzer, J, Diamond, B, Close, LG. The safety of flexible endoscopic evaluation of swallowing with sensory testing (FEESST): an analysis of 500 consecutive evaluations. Dysphagia 2000;15:3944CrossRefGoogle ScholarPubMed