Lee M Akst1,2, Jonathan M Bock3, Jerome R Lechien4,5,6,7,8, Thomas L Carroll9, Jacqueline E Allen10, Tareck Ayad1,11, Necati Enver1,12, Young-Gyu Eun1,13, Paulo S Perazzo14, Fabio Pupo Ceccon15, Geraldo D Sant'Anna16, Rui Imamura17, Sampath Kumar Raghunandhan18, Carlos M Chiesa-Estomba1,19, Christian Calvo-Henriquez20, Sven Saussez1,21,22, Petros D Karkos1,23, Marc Remacle24. 1. Laryngopharyngeal Reflux Study Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France. 2. Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA. 3. Division of Laryngology and the Professional Voice Department of Otolaryngology, Communication Science Medical College of Wisconsin, Milwaukee, WI, USA. 4. Laryngopharyngeal Reflux Study Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France. Jerome.Lechien@umons.ac.be. 5. Department of Anatomy and Experimental Oncology, Mons School of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium. Jerome.Lechien@umons.ac.be. 6. Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Faculty of Medicine, University Libre de Bruxelles, Brussels, Belgium. Jerome.Lechien@umons.ac.be. 7. Department of Otorhinolaryngology and Head and Neck Surgery, Foch Hospital, Paris Saclay University, Paris, France. Jerome.Lechien@umons.ac.be. 8. Laboratory of Anatomy and Cell Biology, Faculty of Medicine, University of Mons (UMONS), Avenue du Champ de Mars, 6, 7000, Mons, Belgium. Jerome.Lechien@umons.ac.be. 9. Division of Otolaryngology, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. 10. Department of Surgery, University of Auckland, Grafton, Auckland, New Zealand. 11. Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada. 12. Department of Otolaryngology, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey. 13. Department of Otorhinolaryngology and Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea. 14. Department of Otolaryngology, School of Medicine, São Paulo Federal University, Sao Paulo, Brazil. 15. Department of Otolaryngology-Head and Neck Surgery, Universidade Federal de São Paulo, Sao Paulo, Brazil. 16. Disciplina de Otorrinolaringologia, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil. 17. Department of Otorhinolaryngology, Clinical Hospital, University of São Paulo School of Medicine, Sao Paulo, Brazil. 18. Department of Otology, Neurotology and Skullbase Surgery, Madras ENT Research Foundation, Chennai, India. 19. Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Universitario Donostia, San Sebastian, Spain. 20. Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain. 21. Department of Anatomy and Experimental Oncology, Mons School of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium. 22. Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Faculty of Medicine, University Libre de Bruxelles, Brussels, Belgium. 23. Department of Otorhinolaryngology and Head and Neck Surgery, Thessaloniki Medical School, Thessaloniki, Greece. 24. Department of Otolaryngology, Centre Hospitalier du Luxembourg, Luxembourg, Luxembourg.
Abstract
OBJECTIVE: To study the management of laryngopharyngeal reflux (LPR) among the subspecialties of practicing otolaryngology-head and neck surgeons and their trainees. METHODS: A survey was sent to over 8000 otolaryngologists (OTOHNS) over 65 countries, utilizing membership lists of participating otolaryngological societies. The outcomes were answers to questions regarding LPR knowledge and practice patterns, and included queries about its definition, prevalence, clinical presentation, diagnosis, and treatment. RESULTS: Of the 824 respondents, 658 practiced in one specific otolaryngologic subspecialty. The symptoms and findings thought to be the most related to LPR varied significantly between subspecialists. Extra-laryngeal findings were considered less by laryngologists while more experienced OTOHNS did not often consider digestive complaints. Compared with colleagues, otologists, rhinologists and laryngologists were less aware of the involvement of LPR in otological, rhinological and laryngological disorders, respectively. Irrespective of subspecialty, OTOHNS consider symptoms and signs and a positive response to empirical therapeutic trial to establish a LPR diagnosis. Awareness regarding the usefulness of impedance pH-studies is low in all groups. The therapeutic approach significantly varies between groups, although all were in agreement for the treatment duration. The management of non-responder patients demonstrated significant differences among laryngologists who performed additional examinations. The majority of participants (37.1%) admitted to being less than knowledgeable about LPR management. CONCLUSIONS: LPR knowledge and management vary significantly across otolaryngology subspecialties. International guidelines on LPR management appear necessary to improve knowledge and management of LPR across all subspecialties of otolaryngology.
OBJECTIVE: To study the management of laryngopharyngeal reflux (LPR) among the subspecialties of practicing otolaryngology-head and neck surgeons and their trainees. METHODS: A survey was sent to over 8000 otolaryngologists (OTOHNS) over 65 countries, utilizing membership lists of participating otolaryngological societies. The outcomes were answers to questions regarding LPR knowledge and practice patterns, and included queries about its definition, prevalence, clinical presentation, diagnosis, and treatment. RESULTS: Of the 824 respondents, 658 practiced in one specific otolaryngologic subspecialty. The symptoms and findings thought to be the most related to LPR varied significantly between subspecialists. Extra-laryngeal findings were considered less by laryngologists while more experienced OTOHNS did not often consider digestive complaints. Compared with colleagues, otologists, rhinologists and laryngologists were less aware of the involvement of LPR in otological, rhinological and laryngological disorders, respectively. Irrespective of subspecialty, OTOHNS consider symptoms and signs and a positive response to empirical therapeutic trial to establish a LPR diagnosis. Awareness regarding the usefulness of impedance pH-studies is low in all groups. The therapeutic approach significantly varies between groups, although all were in agreement for the treatment duration. The management of non-responder patients demonstrated significant differences among laryngologists who performed additional examinations. The majority of participants (37.1%) admitted to being less than knowledgeable about LPR management. CONCLUSIONS: LPR knowledge and management vary significantly across otolaryngology subspecialties. International guidelines on LPR management appear necessary to improve knowledge and management of LPR across all subspecialties of otolaryngology.
Authors: Jerome R Lechien; Lee M Akst; Abdul Latif Hamdan; Antonio Schindler; Petros D Karkos; Maria Rosaria Barillari; Christian Calvo-Henriquez; Lise Crevier-Buchman; Camille Finck; Young-Gyu Eun; Sven Saussez; Michael F Vaezi Journal: Otolaryngol Head Neck Surg Date: 2019-02-12 Impact factor: 3.497
Authors: Jerome R Lechien; Sven Saussez; Andrea Nacci; Maria Rosaria Barillari; Alexandra Rodriguez; Serge D Le Bon; Lise Crevier-Buchman; Bernard Harmegnies; Camille Finck; Lee M Akst Journal: Laryngoscope Date: 2019-03-20 Impact factor: 3.325
Authors: Jerome R Lechien; Christian Calvo-Henriquez; Carlos M Chiesa-Estomba; Maria Rosaria Barillari; Marilena Trozzi; Duino Meucci; Shazia Peer; Fairouz Ben Abdelouahed; Antonio Schindler; Sven Saussez Journal: Int J Pediatr Otorhinolaryngol Date: 2020-06-08 Impact factor: 1.675
Authors: Andrés Coca-Pelaz; Juan P Rodrigo; Robert P Takes; Carl E Silver; Daniela Paccagnella; Alessandra Rinaldo; Michael L Hinni; Alfio Ferlito Journal: Head Neck Date: 2013-06-22 Impact factor: 3.147