Kosztyła-Hojna Bożena, Zdrojkowski Maciej, Duchnowska Emilia
Department of Clinical Phonoaudiology and Speech Therapy, Medical University of Bialystok, Poland.
Otolaryngol Pol. 2021 Feb 2;75(3):1-5. doi: 10.5604/01.3001.0014.7012.
Introduction Gastroesophageal reflux disease (GERD) may cause extra-esophageal complications, including laryngopharyngeal reflux disease (LPR). It is caused by morphological changes in the laryngeal mucosa due to the regurgitation of gastric contents. Laryngopharyngeal reflux has a wide symptomatology. There is no pathognomonic image of the larynx for LPR. In the diagnosis of LPR, the subjective RSI scale is commonly used, which assesses symptoms in conjunction with the laryngoscopic assessment of the larynx on the RFS scale. The aim of the study was to diagnose the clinical form of dysphonia in patients with laryngopharyngeal reflux (LPR) using the HS camera and HSDI technique. Material and methods The study included a group of 72 patients of both genders, age 20 to 65, who obtained more than 13 points in the RSI scale and more than 7 points in the RFS scale. Results Application of HSDI technique with camera in the high speed (HS) and high resolution (HR) mode allowed precise objective diagnosis of organic and functional disorders of a hyperfunctional dysphonia.
引言 胃食管反流病(GERD)可能导致食管外并发症,包括喉咽反流病(LPR)。它是由胃内容物反流导致喉黏膜形态改变引起的。喉咽反流有广泛的症状表现。LPR在喉镜检查中没有特异性图像。在LPR的诊断中,常用主观的反流症状指数(RSI)量表,该量表结合反流发现评分(RFS)量表对喉部的喉镜评估来评估症状。本研究的目的是使用高速(HS)摄像头和高速数字成像(HSDI)技术诊断喉咽反流(LPR)患者的发音障碍临床类型。材料与方法 该研究纳入了一组72名年龄在20至65岁之间的男女患者,他们在RSI量表上得分超过13分,在RFS量表上得分超过7分。结果 在高速(HS)和高分辨率(HR)模式下使用摄像头的HSDI技术能够精确客观地诊断功能性发音障碍的器质性和功能性疾病。