ALGORITM DE DIAGNOSTIC ŞI TRATAMENT ÎN FARINGOLARINGITA DE REFLUX

Pharyngolaryngeal reflux (PLR) refers to backflow of stomach contents into the throat and larynx. Its diagnosis is difficult because of a variety of atypical symptoms, low sensitivity of traditional tests of gastrointestinal tract, and no consensus on the diagnostic al-gorithm. The aim of this study was to provide an algorithm for the diagnosis and treatment of PLR. There were no pathognomonic symptoms or findings, but the characteristic symp-toms validate the Reflux Symptom Index and Reflux Findings Score as tools in the initial diagnosis. The first approach is empirical medical treatment for 3 month, based on endosco-pic findings at laryngofiberscopy; then objective demonstration of reflux events using multi-channel intraluminal impedance and pH monitoring. Proton pump inhibitors represent the mainstay of therapy for the patients with PLR, but they require a more aggressive and pro-longed treatment than the patients with gastroesophageal symptoms.