Laryngopharyngeal reflux in a school-going child with unusual clinical presentation

Laryngopharyngeal reflux (LPR) refers to laryngopharyngeal manifestations of acid reflux from the gastroesophageal part. LPR is diagnosed by assessing the clinical symptoms, videolaryngoscopic assessment of the larynx, and double-probe monitoring of the pH. Hoarseness of voice is an important sympto...

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Bibliographic Details
Published in:BLDE university journal of health sciences 2020-01, Vol.5 (2), p.219-221
Main Authors: Swain, Santosh, Behera, Ishwar, Mohanty, Jatindra
Format: Article
Language:English
Subjects:
granuloma
hoarseness of voice
laryngopharyngeal reflux
school-going child
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Summary:Laryngopharyngeal reflux (LPR) refers to laryngopharyngeal manifestations of acid reflux from the gastroesophageal part. LPR is diagnosed by assessing the clinical symptoms, videolaryngoscopic assessment of the larynx, and double-probe monitoring of the pH. Hoarseness of voice is an important symptom for the diagnosis of LPR in children and frequently the only presenting symptom. Ambulatory 24-h double-probe (esophageal and pharyngeal) pH monitoring is both specific and sensitive for the diagnosis of LPR. Early diagnosis and treatment often results in the improvement of hoarseness and prevent complications. Endoscopic examination of the larynx and hypopharynx is an important step for patient selection as selected laryngeal findings are related with diagnosis, treatment, and outcome. Treatment options are medications and lifestyle modifications. Here, we present vocal process granuloma and unusual presentations of prolonged LPR in a 12-year-old boy.
ISSN:2468-838X
2456-1975
DOI:10.4103/bjhs.bjhs_42_19