LARYNGOPHARYNGEAL REFLUKS

Reflux Symptom Index (RSI) ≥ 13 Reflux Finding Score (RFS) ≥ 7

Serak, atau problem suara  Edema: difus atau terlokalisir

Pembersihan tenggorokan/ throat  Eritema
clearence  Hipertrofi mukosa posterior
 Lendir di tenggorok/ post nasal drip  Pseudosulcus vocalis
 Terasa melekat pada tenggorokan  Obliterasi ventrikel
 Kesulitan menelan  Granulasi
 Batuk saat berbaring setelah makan  Thickening of mucous
 Sesak nafas/ sensasi seperti tercekik
 Rasa panas di dada, nyeri ulu hati, sebah
 Batuk ber riak

Laring normal Udema laring

Pseudosulkus Vokalis Granulasi laring Ventrikel obliterasi

Created by Alfian,Dian(April 2013)

Reflux Finding Score (RFS) ≥ 7

EDEM SUBGLOTIK  Extend from the anterior
commisure to the posterior larynx
 An accurate predictor of LPR
 Positive predictive value 90%
 0: absent 2: present

 Non specific findings

LARYNGEAL ERYTHEMA  Depends on the videoendoscopic
equipment
 Isolated erythema of the arytenoids
:2
 Diffuse laryngeal erythema : 4

VENTRICULAR OBLITERASI  Swelling of the true and false vocal

folds
 Partial : 2
reduced ventricular space
 Complete : 4
no ventricular space.

VOCAL FOLD EDEMA 1. mild

2. moderate
3. severe/sessile
4. Polypoid degeneration

DIFFUSE LARYNGEAL EDEMA  Is judge by the size of the airway

relative to the size of the larynx
1. Mild
2. Moderate
 3. Severe
4. Obstructing

POSTERIOR COMMISURE HIPERTROPHY The most frequent findings 85%

1. Mild, slight moustache app
2. Moderate, straight line
3. Severe, bulging
4. Obstructing, obliteration

THICK ENDOLARYNGEAL MUCUS GRANULASI LARING