Table 3.
Laryngoscopic findings with the reflux finding score in 41 patients with suspected laryngopharyngeal reflux, classified using multichannel intraluminal impedance and pH monitoring
Laryngoscopic findings | Ordinal scale | ERD/NERD (5) | HE (11) | No GERD1 (25) | P value |
Infraglottic oedema (pseudosulcus) | 0 = Absent | 4 | 10 | 23 | 0.592 |
2 = Present | 1 | 1 | 2 | ||
Ventricular obliteration | 0 = None | 4 | 8 | 21 | 0.553 |
2 = Partial | 1 | 3 | 4 | ||
4 = Complete | 0 | 0 | 0 | ||
Erythema/hyperemia | 0 = None | 0 | 0 | 1 | 0.474 |
2 = Arytenoids only | 2 | 6 | 15 | ||
4 = Diffuse | 3 | 5 | 9 | ||
Vocal fold oedema | 0 = None | 3 | 7 | 19 | 0.375 |
1 = Mild | 2 | 1 | 4 | ||
2 = Moderate | 0 | 3 | 2 | ||
3 = Severe | 0 | 0 | 0 | ||
4 = Polypoid | 0 | 0 | 0 | ||
Diffuse laryngeal oedema | 0 = None | 0 | 4 | 10 | 0.271 |
1 = Mild | 1 | 4 | 7 | ||
2 = Moderate | 2 | 3 | 5 | ||
3 = Severe | 2 | 0 | 3 | ||
4 = Obstructing | 0 | 0 | 0 | ||
Posterior commissure hypertrophy | 0 = None | 0 | 0 | 0 | 0.763 |
1 = Mild | 2 | 5 | 12 | ||
2 = Moderate | 1 | 5 | 10 | ||
3 = Severe | 2 | 1 | 3 | ||
4 = Obstructing | 0 | 0 | 0 | ||
Granuloma/granulation | 0 = Absent | 5 | 10 | 24 | 0.876 |
2 = Present | 0 | 1 | 1 | ||
Thick endolaryngeal mucus | 0 = Absent | 2 | 7 | 12 | 0.909 |
2 = Present | 3 | 4 | 10 |
Patients with normal acid exposure time and without correlation between symptoms and refluxes. ERD: Erosive esophagitis; NERD: Non erosive esophagitis; HE: Hypersensitive esophagus.