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Posterior laryngitis: a study of persisting symptoms and health-related quality of life.

In English

Författare

Summary, in English

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). Patients treated for posterior laryngitis at consultation at the ear-, nose- and throat 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. 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. 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. 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 hypersensitivity, weakly gaseous acid reflux or non-acid reflux are not considered. Symptoms from posterior laryngitis have a negative impact on the HRQOL for women.

Publiceringsår

2013

Språk

Engelska

Sidor

187-195

Publikation/Tidskrift/Serie

European Archives of Oto-Rhino-Laryngology

Volym

270

Issue

1

Dokumenttyp

Artikel i tidskrift

Förlag

Springer

Ämne

  • Otorhinolaryngology

Status

Published

Forskningsgrupp

  • Laryngoesophagology, Allergy and Life Quality
  • Internal Medicine - Epidemiology

ISBN/ISSN/Övrigt

  • ISSN: 0937-4477