Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2014; 25(2):163-168

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2014.25.2.163

원저

인후두역류증이 의심되는 환자에서 비디오투시법의 역할

이승주¹^,^*, 유광규¹, 곽민영¹

Value of Videofluoroscopy in Patients with Suspected Laryngopharyngeal Reflux

Seung Ju Lee¹^,^*, Kwang-Kyu Yu¹, Min Young Kwak¹

¹을지대학교 의과대학 을지병원 이비인후과학교실

¹Department of Otorhinolaryngology, Eulji Medical Center, Eulji University, School of Medicine, Seoul, Korea

^*교신저자: 이승주，139-872 서울 노원구 한글비석길 68 을지대 학교 의과대학 을지병원 이비인후과학교실 전화： (02) 970-8276·전송: (02) 970-8275 E-mail： entdoc@eulji.ac.kr

© Copyright 2014 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 23, 2014; Revised: Oct 02, 2014; Accepted: Nov 13, 2014

Published Online: May 31, 2020

ABSTRACT

Backgrounds and Objectives: The aim of this study was to investigate the value of videofluoroscopy (VF) in patients with laryngopharyngeal reflux (LPR) suspected on the basis of reflux symptom index (RSI) and reflux finding score (RFS). Materials and Methods: The patients with RSI > 13 and RFS >7 were enrolled. The VF was conducted in all patients, who were divided into the reflux and the no reflux group. Proton pump inhibitor (PPI) was prescribed to all patients for more than 8 weeks. Results: Sixty-six patients were followed for 8 weeks. On VF, 32 patients (48.5%) had reflux and 34 patients had no reflux. The two groups showed no significant differences in demographic data, baseline characteristics, the mean changes in RSI and RFS after treatment. There was no correlation between the presence or absence of reflux and the effectiveness of PPI treatment. Conclusions: Among our patient population, a subgroup including about half of the patients was found to have reflux on VF. Therefore, at least in this subgroup, VF may have a role to support the diagnosis of the patients with suspected LPR. (J Clinical Otolaryngol 2014;25:163–168)

Keywords: 인후두 역류; 비디오 투시법; 양자펌프 차단제

Keywords: Laryngopharyngeal reflux; Videofluoroscopy; Proton pump inhibitor