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Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
Vocal fold lesions such as a vocal fold nodule or other changes in the vocal fold mucosa can lead to increased tension in the larynx and cause dysphonia. [2] Larynogopharyngeal reflux, a process that is similar to GERD, can bring stomach acid into the larynx. This can provoke the larynx to tense to prevent the aspiration of the acid. [3]
Trauma is often due to excessive use of the vocal folds such as by yelling, screaming, or singing. Though this often results in damage to the outer layers of the vocal folds, the subsequent healing process may lead to changes in the physiology of the folds. [1] Another potential cause of inflammation may be overuse of the vocal cords.
Vocal cord dysfunction (VCD) is a condition affecting the vocal cords. [1] It is characterized by abnormal closure of the vocal folds, which can result in significant difficulties and distress during breathing, particularly during inhalation. [1] Due to the similarity in symptoms, VCD attacks are often mistaken for asthma attacks or laryngospasms.
Acid peptic diseases, such as peptic ulcers, Zollinger-Ellison syndrome, and gastroesophageal reflux disease, are caused by distinct but overlapping pathogenic mechanisms involving acid effects on mucosal defense. Acid reflux damages the esophageal mucosa and may also cause laryngeal tissue injury, leading to the development of pulmonary ...
Causes of Acid Reflux. Acid reflux may have several causes, especially certain foods, says Kansas-based registered dietitian Cheryl Mussatto, M.S., RD, LD. While everyone has different triggers ...
In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
Reinke's edema is the swelling of the vocal cords due to fluid collected within the Reinke's space. [2] First identified by the German anatomist Friedrich B. Reinke in 1895, the Reinke's space is a gelatinous layer of the vocal cord located underneath the outer cells of the vocal cord.
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