Document Detail


Treatment of reflux-related and non-reflux-related dysphonia with profound gastric acid inhibition.
MedLine Citation:
PMID:  11014938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-eight patients with dysphonia exceeding 3 months, not caused by trauma, infection, paralysis or allergy, were studied. In all patients a 24-hour ambulatory dual-probe pH monitoring, 5 and 20 cm above the lower oesophageal sphincter was performed. Subsequently they were treated with lansoprazole 30 mg once daily during 6 weeks. A voice range profile, perceptual evaluation of the voice and videolaryngostroboscopy were performed in all patients before and after treatment. A questionnaire about laryngeal symptoms and heartburn was completed on the same two occasions. Thirty-nine percent (15 out of 38) of the patients had an abnormal pH profile and were considered to have reflux-related dysphonia. Only these patients showed a significant improvement in their subjective score on dysphonia (p < 0.05), chronic cough (p < 0.05), dysphagia (p < 0. 05) and heartburn (p < 0.01). Also posterior erythema decreased significantly in these patients (p < 0.01). Only 2 of the 15 subjects did not complain of heartburn.
Authors:
L H Willems-Bloemer; G C Vreeburg; R Brummer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)     Volume:  52     ISSN:  1021-7762     ISO Abbreviation:  Folia Phoniatr Logop     Publication Date:    2000 Nov-Dec
Date Detail:
Created Date:  2000-12-15     Completed Date:  2000-12-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9422792     Medline TA:  Folia Phoniatr Logop     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  289-94     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Hospital, Maastricht, The Netherlands. l.willems@kno.azm.nl
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MeSH Terms
Descriptor/Qualifier:
2-Pyridinylmethylsulfinylbenzimidazoles
Adult
Aged
Anti-Ulcer Agents / pharmacology*,  therapeutic use*
Female
Gastric Acid / metabolism*
Gastroesophageal Reflux / complications*,  drug therapy*
Humans
Male
Middle Aged
Omeprazole / analogs & derivatives*,  pharmacology*,  therapeutic use*
Severity of Illness Index
Treatment Outcome
Voice Disorders / diagnosis,  drug therapy*,  etiology*
Chemical
Reg. No./Substance:
0/2-Pyridinylmethylsulfinylbenzimidazoles; 0/Anti-Ulcer Agents; 103577-45-3/lansoprazole; 73590-58-6/Omeprazole

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