EVALUATION OF TREATMENT OUTCOMES FOR LARYNGOPHARYNGEAL REFLUX AT GIA LAM GENERAL HOSPITAL USING THE REFLUX SYMPTOM INDEX (RSI) AND REFLUX FINDING SCORE (RFS)
Main Article Content
Abstract
Objective: To evaluate the treatment outcomes of laryngopharyngeal reflux (LPR) by correlating clinical findings with the Reflux Symptom Index (RSI) and Reflux Finding Score (RFS).
Subjects and Methods: A prospective interventional case-series study with pre- and post-treatment comparisons was conducted.
Results: The mean age of the patients was 55.4 ± 13.2 years, with a female-to-male ratio of 1.4:1. Before treatment, the mean RSI score was 20.49 ± 2.22, with 86.3% of patients scoring between 18 and 23. The most common laryngoscopic findings were vocal fold edema and diffuse laryngeal edema (100%), obliteration of the laryngeal ventricle (100%), and posterior commissure hypertrophy (96.3%). After 2 months of treatment, the mean RSI score decreased to 1.24 ± 1.49 (94.2% improvement), and the mean RFS score decreased from 13.80 ± 2.29 to 0.46 ± 1.04 (96.9% improvement). The improvements were statistically significant (p < 0.001). The overall good treatment response rate was 86.3%.
Conclusion: Laryngopharyngeal reflux predominantly affects middle-aged and elderly patients, with a higher prevalence in females. A 2-month course of Esomeprazole 40 mg/day demonstrated excellent efficacy in improving both subjective symptoms and objective laryngeal findings.
Keywords
Laryngopharyngeal reflux, LPR, RSI, RFS, Esomeprazole.
Article Details
References
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