scholarly journals Assessment of Dysphagia as a Risk Factor of Chronic Cough

2021 ◽  
Author(s):  
Barbara Jamróz ◽  
Magdalena Milewska ◽  
Joanna Chmielewska-Walczak ◽  
Magdalena Lachowska ◽  
Marta Dąbrowska-Bender ◽  
...  
Keyword(s):  
Functional Assessment ◽  
Chronic Cough ◽  
Ethics Committee ◽  
Swallowing Disorders ◽  
Reflux Finding Score ◽  
Endoscopic Evaluation ◽  
Reflux Symptom Index ◽  
Laryngeal Elevation ◽  
Symptom Index

Background: The aim of the study was to determine the prevalence of dysphagia in patients with chronic cough and its relationship with the long-term persistence of these symptoms. Methods: Thirty consecutive patients. All patients underwent physical examination, ENT assessment, videolaryngoscopy, functional phoniatric assessment at rest and speech, Water-Swallow Test, and Fiberoptic Endoscopic Evaluation of Swallowing disorders with Reflux Finding Score. Reflux Symptom Index questionnaire was performed. The study was approved by the local Ethics Committee Review Board (KB/39/A/2016). Results: The results of the RFS and the RSI questionnaire showed the risk of reflux in participating patients. The patients presented episodes of spillage, double swallows, penetration, aspiration and residue of food at the hypopharynx. The results of functional assessment correlated with the Water-Swallow Test. The correlation between Fiberoptic Endoscopic Evaluation of Swallowing disorders and Water-Swallow Test results was found for aspiration risk, spillage, and retention of saliva. Conclusion: The results of the study showed prevalence of dysphagia in most patients with chronic chough. It seems that phoniatric assessment in those cases should be expanded and the following tests should be performed: assessment of the laryngeal elevation, Water-Swallow Test, and Fiberoptic Endoscopic Evaluation of Swallowing disorders.

Evaluation of dysphagia among patients with chronic cough

2018 ◽  
Vol 7 (2) ◽  
pp. 1-5
Author(s):  
Maria Pabian ◽  
Joanna Chmielewska ◽  
Magdalena Milewska ◽  
Elżbieta Grabczak ◽  
Dąbrowska Marta ◽  
...  
Keyword(s):  
Physical Examination ◽  
Key Words ◽  
Chronic Cough ◽  
Water Volume ◽  
Endoscopic Evaluation ◽  
Reflux Symptom Index ◽  
Laryngeal Elevation ◽  
Symptom Index ◽  
Positive Results ◽  
Functional Examination

Aim: The aim of the study was to determine the prevalence of dysphagia in patients with chronic cough. Material and methods: Thirty four consecutive patients. All patients underwent physical examination, ENT assessment, functional phoniatric assessment at rest and speech, Water-Swallow Test (WST), and Fiberoptic Endoscopic Evaluation of Swallowing disorders (FEES) Reflux Symptom Index (RSI) questionnaire and Eating Assestment Tool 10 (EAT 10) questionnaire were performed. Results: The results of the RSI and EAT 10 questionnaires showed the risk of reflux and dysphagia in participating patients. WST positive results increase with water volume. The patients presented episodes of spillage, double swallows, penetration, aspiration and residue of food at the hypopharynx. Functional examination showed decrease of laryngeal elevation (33%) and hypertension of external larynges muscles. Conclusions: The results of the study showed prevalence of dysphagia in most patients with chronic chough. It seems that phoniatric assessment in those cases should be expanded and the FEES examination should be their important part. Key words: dysphagia, FEES, chronic cough, water swallowing test, aspiration, penetration.

scholarly journals Correlation between reflux symptom index and reflux finding score in patients with laryngopharyngeal reflux: Our experience

2016 ◽  
Vol 3 ◽  
pp. 13-17
Author(s):  
Deepthi Satish ◽  
H. C. Badari Datta ◽  
B. V. Manjula ◽  
Brinda A. Poojari ◽  
Bhaskar Reddy Molluru
Keyword(s):  
Laryngopharyngeal Reflux ◽  
Reflux Symptom ◽  
Reflux Finding Score ◽  
Reflux Symptom Index ◽  
Symptom Index

scholarly journals Aggravation of Reflux Finding Score (RFS) after thyroidectomy

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254235
Author(s):  
Hyung-Joon Yoon ◽  
Hee Ryung Kim ◽  
Chang Myeon Song ◽  
Ji Young Lee ◽  
You Hern Ahn ◽  
...  
Keyword(s):  
Esophageal Manometry ◽  
Laryngopharyngeal Reflux ◽  
Ph Monitoring ◽  
Central Neck Dissection ◽  
Reflux Finding Score ◽  
Reflux Symptom Index ◽  
Preoperative Level ◽  
Symptom Index ◽  
Before And After ◽  
Possible Cause

Laryngopharyngeal reflux (LPR) has been suggested as a possible cause of post-thyroidectomy syndrome. However, the pathophysiology and relationship between thyroidectomy and LPR have not been well investigated. We aimed to evaluate the correlation between thyroidectomy and LPR by assessing changes in LPR-related symptoms and laryngoscopic findings before and after thyroidectomy. Ninety-five patients who underwent thyroidectomy with or without central neck dissection were included. The reflux finding score (RFS) and reflux symptom index (RSI) were investigated one day before surgery and two, four, six, and twelve months after surgery. The RFS scores increased significantly after thyroidectomy and decreased to the preoperative level 12 months after surgery. The RSI scores increased after surgery and decreased gradually by 12 months postoperatively, although it was not statistically significant. The RSI and RFS scores improved with the administration of proton pump inhibitors. In conclusion, LPR-related laryngoscopic findings were exacerbated after uncomplicated thyroidectomy. Further studies using pH-monitoring and esophageal manometry are required to investigate the possible deterioration of LPR itself and the UES pressure after thyroidectomy.

Use of reflux finding score and reflux symptom index for the management of laryngopharyngeal lesions: a pilot study

2021 ◽  
Author(s):  
Jacopo COLOMBINI ◽  
Massimo SPADOLA BISETTI ◽  
Roberto ALBERA ◽  
Davide G. RIBALDONE ◽  
Giorgio M. SARACCO ◽  
...  
Keyword(s):  
Pilot Study ◽  
Reflux Symptom ◽  
Reflux Finding Score ◽  
Reflux Symptom Index ◽  
Symptom Index

Empirical treatment with pantoprazole as a diagnostic tool for symptomatic adult laryngopharyngeal reflux

2011 ◽  
Vol 125 (5) ◽  
pp. 502-508 ◽  
Author(s):  
M Masaany ◽  
M B Marina ◽  
W P Sharifa Ezat ◽  
A Sani
Keyword(s):  
Predictive Value ◽  
Laryngopharyngeal Reflux ◽  
Ph Monitoring ◽  
Reflux Symptom ◽  
Empirical Treatment ◽  
Double Blind Study ◽  
Reflux Finding Score ◽  
Reflux Symptom Index ◽  
Double Blind ◽  
Symptom Index

AbstractObjective:To determine the sensitivity and specificity of intensive empirical treatment with pantoprazole in diagnosing laryngopharyngeal reflux in adults.Study design:This was a prospective, double-blind study.Subjects and methods:Fifty-five patients with either a Reflux Symptom Index of more than 13 or a Reflux Finding Score of more than 7 were enrolled. All patients underwent 24-hour, double-probe pH monitoring before commencing pantoprazole 40 mg twice daily; both investigators and patients were blinded to pH monitoring results. The Reflux Symptom Index and Reflux Finding Score were reassessed during the second, third and fourth month of follow up.Results:The sensitivity of empirical pantoprazole treatment in diagnosing laryngopharyngeal reflux was 92.5 per cent. The specificity was 14.2 per cent, the positive predictive value 86 per cent and the negative predictive value 25 per cent. There was significant reduction in the total Reflux Symptom Index and Reflux Finding Score after the second, third and fourth month of treatment. There was no correlation between laryngopharyngeal reflux and body mass index.Conclusion:Our results suggest that intensive empirical treatment with proton pump inhibitors is effective in diagnosing laryngopharyngeal reflux.

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