후두경피증 환자의 수술적 치료 2예

Laryngopharyngeal reflux (LPR) is somewhat different from classic gastroesophageal reflux disease in its patterns, mechanism, manifestations and so on. The chief complaints of LPR are known as sore throat, throat clearing, hoarseness and foreign body sensation, but heartburn is uncommon. Laryngeal manifestations of LPR are reported as globus pharyngeus, reflux laryngitis, pachyderma laryngis, contact granuloma or ulcer, laryngeal leukoplakia, Reinke’s edema, posterior glottic stenosis, subglottic stenosis, laryngomalacia, vocal nodule or cyst, paroxysmal laryngospasm, malignancy, etc. Treatment for LPR includes changes of the diet pattern and lifestyle, and acid-suppresssing therapy (Medication and Antireflux surgery). Authors report two cases of effective management of pachyderma laryngis with huge interarytenoid mass associated with LPR which was refractory to medical treatment. Surgical excision of the lesion was effective for resolving symptoms and shortened treatment period. (J Clinical Otolaryngol 2004;15:294-298)