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- Title
Do Laryngologists and General Otolaryngologists Manage Laryngopharyngeal Reflux Differently?
- Authors
Lechien, Jerome R.; Allen, Jacqueline; Mouawad, Francois; Ayad, Tareck; Barillari, Maria Rosaria; Huet, Kathy; Crevier‐Buchman, Lise; Hans, Stéphane; Karkos, Petros D.; Eun, Young‐Gyu; Bobin, Francois; Saussez, Sven; Akst, Lee M.; Crevier-Buchman, Lise; Eun, Young-Gyu
- Abstract
<bold>Objective: </bold>To investigate current practices of laryngologists and non-laryngologists in management of Laryngopharyngeal Reflux (LPR).<bold>Methods: </bold>An online survey was sent to members of otolaryngology societies about LPR, and subgroup analysis was performed between laryngologists and non-laryngologists. This survey was conducted by the LPR Study Group of Young Otolaryngologists of the International Federation of Otolaryngological Societies.<bold>Results: </bold>A total of 535 otolaryngologists completed the survey. Among them, 127 were laryngologists and 408 were non-laryngologists. Collectively, symptoms most commonly attributed to LPR are cough after lying down/meal, throat clearing, and acid brash; most common findings are thought to be arytenoid erythema and posterior commissure hypertrophy. Respectively, 12.5% and 5% of non-laryngologists and laryngologists believe that ≥50% of LPR patients suffer from heartburn (P = .010). Non-laryngologists are more aware about some extra-laryngeal findings associated with LPR (eg, pharyngeal erythema) than laryngologists. Neither laryngologists nor non-laryngologists associated development of benign lesions of the vocal folds with reflux. The management of LPR substantially differs between groups, with laryngologists indicating increased awareness of (impedance)-pH monitoring as well as the prevalence and treatment of nonacid/mixed LPR. Conversely, non-laryngologists are much more likely to include gastroenterology referral in their management of presumed LPR. Respectively, 44.8% and 27.6% of non-laryngologists and laryngologists believe themselves not sufficiently knowledgeable about LPR.<bold>Conclusions: </bold>Significant differences exist between laryngologists and non-laryngologists in diagnosis and treatment of LPR. Overall only one-third of responders believe themselves to be sufficiently educated about LPR.<bold>Level Of Evidence: </bold>4 Laryngoscope, 130:E539-E547, 2020.
- Subjects
OTOLARYNGOLOGISTS; VOCAL cords; SYMPTOMS; INTERNATIONAL organization; COMPUTER surveys; COUGH; HEARTBURN; GASTROESOPHAGEAL reflux treatment; GASTROESOPHAGEAL reflux diagnosis
- Publication
Laryngoscope, 2020, Vol 130, Issue 10, pE539
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.28484