The Asessment of Gastroesophageal and Gastropharyngeal Reflux Prevelance After Total Laryngectomy.
The aim of this study is to detect prevalence of glomerular filtration rate in total laryngectomy patients.
Thirty-eight healthy patients who underwent total laryngectomy and followed at least 6 months paticipated to study. Patients were asked to complete gastroesophageal reflux disease
questionnaire and examined with flexible laryngoscopy.
Twenty-seven of 38 (71%) patients had scores over 8 and diagnosed as gastroesophageal reflux. Eleven patients had scores lower than 8. Our study revealed that GER and GFR incidence are higher in total laryngectomy
patients.
Gastroesophageal reflux is a condition in which gastrointestinal content passes through
upper esophageal sphincter and reaches esophagus. This situation is called GER disease when
casues signs and symptoms.
Gastropharyngeal reflux is an advanced situation that gastrointestinal content reaches pharyngeal mucosa passing through upper esophageal sphincter. It has been proved that GFR is associated with numerous otorhinolaryngological diseases including otitis media with effusion, laryngeal granuloma and subglottic stenosis.
Although its importance has been accepted in otorhinolaryngological problems it was
not studied in detail at laryngectomized patients. GFR may cause pharyngocutanous fistula and
voice problems in laryngectomized patients. We aimed to study prevalence of GFR in total
laryngectomy patients.
We evaluated 38 healthy patients who underwent total laryngectomy and followed at least 6
months. Our study revealed that GER and GFR incidence are higher in
total laryngectomy patients. This can be related to physiological
changes which were caused by surgery.
Diagnosis and treatment
of these patients are important because it negatively affects
quality-of-life. Due to above reported facts we recommend
prophylactic proton pump inhibitor use after total laryngectomy.
Otolaryngol Open J. 2016; 2(5): 156-157. doi: 10.17140/OTLOJ-2-132
