Abstract
Objectives. Posterior laryngitis is a common cause of chronic cough, hoarseness, voice fatigue and throat pain.
The aim of the present study was to examine how patients with posterior laryngitis have been examined, treated
and followed up, and to assess their present health-related quality of life (HRQOL).
Methods. Patients treated for posterior laryngitis at consultation at the Ear-, Nose- and Throat (ENT) clinic
during 2000-2008 were contacted by mail. The letter contained questionnaires addressing the current symptoms
and medication, and the HRQOL 36-item short-form questionnaire (SF-36). Medical records were scrutinized.
One hundred and twenty-two patients with verified signs and symptoms of posterior laryngitis were included.
Results. Forty percent of the patients had been treated for acid-related symptoms prior to consultation. The most
common symptoms at the time of consultation were the sensation of hoarseness (women 40%, men 37%), globus
(women 35%, men 33%) and cough (women 33%, men 26%). The most frequent diagnosis was gastro
oesophageal reflux disease (GORD). Ninety percent of the women and 92% of the men were treated with proton
pump inhibitors (PPIs). At the time of study, 63% of the patients still had symptoms. The results of the SF-36
questionnaire showed significantly lower HRQOL for women.
Conclusions. Patients with posterior laryngitis present varying symptoms, and are often not adequately treated
or followed up. When PPI treatment fails, other aetiologies of their complaints, such as visceral hypersensivity,
weakly gaseous acid reflux or non-acid reflux are not considered. Symptoms from posterior laryngitis have a
negative impact on the HRQOL for women.
AbstractObjectives. Posterior laryngitis is a common cause of chronic cough, hoarseness, voice fatigue and throat pain.The aim of the present study was to examine how patients with posterior laryngitis have been examined, treatedand followed up, and to assess their present health-related quality of life (HRQOL).Methods. Patients treated for posterior laryngitis at consultation at the Ear-, Nose- and Throat (ENT) clinicduring 2000-2008 were contacted by mail. The letter contained questionnaires addressing the current symptomsand medication, and the HRQOL 36-item short-form questionnaire (SF-36). Medical records were scrutinized.One hundred and twenty-two patients with verified signs and symptoms of posterior laryngitis were included.Results. Forty percent of the patients had been treated for acid-related symptoms prior to consultation. The mostcommon symptoms at the time of consultation were the sensation of hoarseness (women 40%, men 37%), globus(women 35%, men 33%) and cough (women 33%, men 26%). The most frequent diagnosis was gastrooesophageal reflux disease (GORD). Ninety percent of the women and 92% of the men were treated with protonpump inhibitors (PPIs). At the time of study, 63% of the patients still had symptoms. The results of the SF-36questionnaire showed significantly lower HRQOL for women.Conclusions. Patients with posterior laryngitis present varying symptoms, and are often not adequately treatedor followed up. When PPI treatment fails, other aetiologies of their complaints, such as visceral hypersensivity,weakly gaseous acid reflux or non-acid reflux are not considered. Symptoms from posterior laryngitis have anegative impact on the HRQOL for women.
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