Ptok M, Ptok A
Klinik und Poliklinik für Phoniatrie und Pädaudiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
HNO. 2012 Mar;60(3):200-5. doi: 10.1007/s00106-011-2441-6.
Chronic hoarseness, globus sensation or mucous obstruction are among a wide range of symptoms possibly related to laryngopharyngeal reflux (LPR).
A selective literature research was carried out using PubMed, in which original articles and reviews in German and English were included. Altogether, 2541 articles were found. Despite the large number of publications, there are still open questions regarding aspects of LPR.
It can be assumed that refluxate reaching the larynx can damage it. Due to the fact that the symptoms possibly related to LPR can, however, be linked to other causes, a careful consideration of the patient's medical history is of the utmost importance, followed by mandatory laryngoscopy. Diagnostic procedures, such as the trial administration of proton pump inhibitors (PPI) or long-term pH measurement should be used selectively. Depending on the individual symptoms, breathing or voice therapy and/or PPI therapy might be useful. Lifestyle changes including dietary measures should also be contemplated.
慢性声音嘶哑、咽部异物感或黏液阻塞是一系列可能与喉咽反流（LPR）相关的症状。
使用PubMed进行了选择性文献研究，纳入了德语和英语的原创文章及综述。共找到2541篇文章。尽管有大量出版物，但关于喉咽反流的一些方面仍存在未解决的问题。
可以认为到达喉部的反流物会对其造成损害。然而，由于可能与喉咽反流相关的症状也可能与其他原因有关，仔细考虑患者的病史至关重要，随后必须进行喉镜检查。诊断程序，如质子泵抑制剂（PPI）的试验性给药或长期pH测量，应选择性使用。根据个体症状，呼吸或嗓音治疗和/或PPI治疗可能会有用。还应考虑包括饮食措施在内的生活方式改变。
