Reflux Laryng？t？s: D？agnos？s and Treatment

Abstract Reflux disease is defined as retrograde movement of the gastric content that causesign and/or symptoms which affecting the quality of life. There is no reliable test defined as ‘gold standard’ for a definitive diagnosis of this very prevalent disease. The mostreliable diagnostic method for reflux laryngitis is remission of symptoms and signs bylifestyle changes and anti-reflux treatment.Laryngeal mucosa, is more sensitive to acid than the esophagus. Thus a smaller amount and shorter exposure consists cell damage. Therefore reflux laryngitis therapy should be more aggressive and longer. Reflux laryngitis symptoms respond to treatment welland recovery occurs quickly. But physical examination findings heals in long-term. Non-healing patients who have revealed pathological reflux with monitoring under treatment,high-dose or super high-dose PPI therapy provides better results. In patients who developed severe complications or have to use continuous PPI, ifthey have revealed pathological reflux, laparoscopic anti-reflux surgery is a promisingmethod in selected patients