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Date Published: 27/09/2024
Online Published: 18/07/2024
Abstract Views: 31
Views PDF: 27
DOI: https://doi.org/10.60137/tmhvn.v69i65.130
Issue
Vol. 69 No. 65
Section
Articles
How to Cite
Nguyen, T. K., Le, P. C., Pham, L. D., Le, N. U. C., & Tran, V. L. (2024). SURVEY ON CLINICAL CHARACTERISTICS AND ENDOSCOPIC SIGNS IN PATIENTS WITH LARYNGOPHARYNGEAL REFLUX BY RSS AND RSA. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 69(65), 26-38. https://doi.org/10.60137/tmhvn.v69i65.130

SURVEY ON CLINICAL CHARACTERISTICS AND ENDOSCOPIC SIGNS IN PATIENTS WITH LARYNGOPHARYNGEAL REFLUX BY RSS AND RSA

Truong Khuong Nguyen , Phu Cuong Le, Long Dao Pham, Nguyen Uyen Chi Le, Viet Luan Tran

Main Article Content

Abstract

Background: The Reflux Symptom Score (RSS) and Reflux Sign Assessment (RSA) by Lechien et al., employed in 2017, to diagnose laryngopharyngeal reflux disease (LPR) with more added symptoms and signs that were not mentioned in the Reflux Symptom Index (RSI) and Reflux Finding Score (RFS) by Belfasky et al., which has been  used since 2002. Currently, there is no research on the application of the RSS and RSA in the practice of diagnosing LPR in Vietnam.


Objectives: The study aims to evaluate clinical symptoms and endoscopic signs in LPR patients in Vietnam using the RSS and RSA scores.


Method: This is a descritptive research on a series of cases with a convenient sample being 107 LPR patients. Their clinical symptoms and endoscopic findings were recorded on the RSS and RSA, respectively. The data were processed with SPSS version 22.


Result: The patients’ RSS scores ranged from 14- 162, and the mean was 60.66 + 59.83. The most common symptoms include:, throat dryness, sensation of something sticking in the throat, throat pain, excess mucous in the throat or post nasal drip sensation, and hoarseness or a voice problem (for ear nose and throat disorders);, indigestion, abdominal distension and/or flatus, halitosis, and nausea (for abdominal disorders);, cough (daytime), and cough after eating/lying down (for respiratory/chest disorders). The patients’ RSA scores ranged from 6-44, and the mean was 16.2+7.45. The most common endoscopic signs are:posterior commissure hypertrophy (for the larynx); erythema of anterior pillar, and coated tongue (for the oral cavity); for the throat cavity is vocal fold granuloma, endolarygeal sticky mucus, and oro-hypopharyngeal erythema. The correlation between the RSS and RSA records is a positive moderate one.


Conclusions and recommendations: The RSS and RSA are effective  in the diagnosis of LPR.


 

Keywords

Reflux Symptom Score (RSS), Reflux Sign Assessment (RSA), otolaryngology, laryngopharyngeal reflux (LPR)

Article Details

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