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Laryngopharyngeal reflux leads to adverse short-term outcomes of vocal fold polyp patients after office-based transnasal vocal fold polypectomy

Published online by Cambridge University Press:  27 December 2024

Jing He ,
Xianwen Wu ,
Renchuan He ,
Bo Yang  and
Yi Yang Open the ORCID record for Yi Yang [Opens in a new window]
Jing He
Affiliation:
Department of Otolaryngology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
Xianwen Wu
Affiliation:
Department of Otolaryngology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
Renchuan He
Affiliation:
Department of Otolaryngology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
Bo Yang
Affiliation:
Department of Otolaryngology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
Yi Yang*
Affiliation:
Department of Otolaryngology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
*
Corresponding author: Yi Yang; Email: [email protected]
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Abstract

Objectives

This study aimed to explore the influence of laryngopharyngeal reflux on the features of vocal fold polyps and prognosis after office-based transnasal vocal fold polypectomy.

Methods

Eighty-four vocal fold polyp patients were retrospectively analysed. Patients were assigned to laryngopharyngeal reflux or non-laryngopharyngeal reflux groups using pre-operative Reflux Symptom Score-12.

Results

The laryngopharyngeal reflux group had significantly higher pre-operative Reflux Sign Assessment scores, worse lifestyle and worse eating habits than the non-laryngopharyngeal reflux group. After office-based transnasal vocal fold polypectomy, the Reflux Symptom Score-12 and Reflux Sign Assessment score decreased in both groups, although the laryngopharyngeal reflux group still had higher values. The non-laryngopharyngeal reflux group had better vocal fold morphology recovery than the laryngopharyngeal reflux group. Multivariate logistic regression analysis demonstrated that smoking and a higher pre-operative Reflux Symptom Score-12 score were independent risk factors for poor prognosis.

Conclusions

Laryngopharyngeal reflux is detrimental to vocal fold recovery of vocal fold polyp patients following office-based transnasal vocal fold polypectomy. For vocal fold polyp patients with laryngopharyngeal reflux, lifestyle and diet guidance should be focused.

Keywords

laryngopharyngeal refluxvocal foldspolyps
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 1 , January 2025 , pp. 54 - 59
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Yi Yang takes responsibility for the integrity of the content of the paper

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