[Correlation between laryngoscopic examination and the gastroesophagial reflux in dysphonic patient].
OBJECTIVE
The gastro-esophageal reflux disease is responsible of oto-rhino-laryngological symptoms included dysphonia. We studied the relationship between reflux disease and dysphonia. The research for the prevalence of reflux disease, in a dysphonic population, has been performed by a clinical and laryngoscopic survey.


METHODS
175 patients were included prospectively. Each patient replies to the questionnaire and see the physician to do a laryngoscopic examination during the same time. A physician jury sees all videos to determine gastro-oesophagial reflux disease laryngoscopic signs.


RESULTS
Statistically significant correlations were found for vocal oedema and posterior hypertrophia in relation with reflux.


CONCLUSIONS
We have pointed out that laryngoscopy is not an adequate diagnosis tool, because it is operator dependant. Nevertheless the diagnosis of gastro-esophageal reflux disease, regarding the vocal symptoms, is proposed when associated with clinic reflux signs (pyrosis).
Welby-Gieusse
M
M
Hôpital Larrey, Service d'Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, TSA 30030, 31059 Toulouse 09, France.
Woisard
V
V
Calas
M
M
Serrano
E
E