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HNO

, Volume 60, Issue 3, pp 200–205 | Cite as

Laryngopharyngealer Reflux und kehlkopfassoziierte Beschwerden

  • M. PtokEmail author
  • A. Ptok
Leitthema

Zusammenfassung

Hintergrund

Ein weites Spektrum an Beschwerden wie chronische Heiserkeit, Globus- und Verschleimungsgefühl hängt möglicherweise mit einem laryngopharyngealen Reflux (LPR) zusammen.

Methode und Ergebnisse

Eine selektive Literaturrecherche in der Datenbank PubMed unter Berücksichtung von deutsch- und englischsprachigen Originalia und Übersichtsarbeiten erbrachte 2541 Arbeiten. Trotz dieser Vielzahl von Publikationen gibt es zu den Aspekten des LPR viele offene Fragen.

Diskussion

Es ist davon auszugehen, dass auf die Larynxschleimhaut gelangtes Refluat diese schädigen kann. Da die Beschwerden, die im Zusammenhang mit LPR diskutiert werden, auch auf andere Ursachen zurückzuführen sein können, ist eine gründliche Anamneseerhebung vor einer obligaten Laryngoskopie erforderlich. Andere diagnostische Verfahren, z. B. die probatorische Gabe von Protonenpumpeninhibitoren (PPI) oder Langzeit-pH-Metrie, sollten selektiv eingesetzt werden. Je nach Beschwerden bietet sich als Therapie eine (probatorische) Atem- oder Stimmtherapie und/oder eine (probatorische) PPI-Therapie an. Es sollte auch immer erwogen werden, ob eine Änderung der Lebensführung einschließlich diätetischer Maßnahmen sinnvoll sein kann.

Schlüsselwörter

Laryngopharyngealer Reflux Heiserkeit Laryngitis Chronische Bronchitis Globusgefühl 

Laryngopharyngeal reflux and larynx-related symptoms

Abstract

Background

Chronic hoarseness, globus sensation or mucous obstruction are among a wide range of symptoms possibly related to laryngopharyngeal reflux (LPR).

Method and results

A selective literature research was carried out using PubMed, in which original articles and reviews in German and English were included. Altogether, 2541 articles were found. Despite the large number of publications, there are still open questions regarding aspects of LPR.

Discussion

It can be assumed that refluxate reaching the larynx can damage it. Due to the fact that the symptoms possibly related to LPR can, however, be linked to other causes, a careful consideration of the patient’s medical history is of the utmost importance, followed by mandatory laryngoscopy. Diagnostic procedures, such as the trial administration of proton pump inhibitors (PPI) or long-term pH measurement should be used selectively. Depending on the individual symptoms, breathing or voice therapy and/or PPI therapy might be useful. Lifestyle changes including dietary measures should also be contemplated.

Keywords

Laryngopharyngeal reflux Hoarseness Laryngitis Chronic bronchitis Globus sensation 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Klinik und Poliklinik für Phoniatrie und PädaudiologieMedizinische Hochschule HannoverHannoverDeutschland

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