title: How to Approach Laryngopharyngeal Reflux: An Otolaryngology Perspective.
abstract: In the otolaryngology practice, there is a rising concern with the current diagnosis and management of laryngopharyngeal reflux (LPR). The implication of LPR in many common head and neck symptoms, along with the rising cost of empiric therapy and no overall improvement in patient symptoms, has established a need to review what are indeed laryngopharyngeal complaints secondary to reflux and what are not. This article reviews the otolaryngologist's approach to LPR, the various ways diagnosis is made, and the guidelines that inform the current trends in otolaryngology management of LPR. The goal of this article is to recognize that reflux can be the cause of a variety of laryngopharyngeal complaints seen within an otolaryngology practice, but when empiric therapy does not improve symptoms, consideration should be given to other non-reflux causes.
authors.affiliation: Department of Otolaryngology, Division of Laryngology, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Vaninder K
authors.initials: VK
authors.lastname: Dhillon
authors.affiliation: Department of Otolaryngology, Division of Laryngology, Johns Hopkins University, Baltimore, MD, USA. lakst1@jhmi.edu.
authors.forename: Lee M
authors.initials: LM
authors.lastname: Akst
mesh_terms: D050782:Esophageal pH Monitoring / Q000379:methods; D006801:Humans; D057045:Laryngopharyngeal Reflux / Q000175:diagnosis* / Q000453:epidemiology; D007828:Laryngoscopy / Q000379:methods; D010434:Pepsin A / Q000032:analysis; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D054328:Proton Pump Inhibitors / Q000627:therapeutic use
chemical_list: D054328:Proton Pump Inhibitors; D010434:Pepsin A
keywords: Empiric treatment; Laryngopharyngeal reflux (LPR); Laryngoscopy; Pepsin; Proton pump inhibitor; pH probe