LARYNGOPHARYNGEAL REFLUKS

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

Serak, atau problem suara  Edema: difus atau terlokalisir

Pembersihan tenggorokan/ throat
clearence  Eritema

Lendir di tenggorok/ post nasal drip  Hipertrofi mukosa posterior

Terasa melekat pada tenggorokan  Pseudosulcus vocalis

Kesulitan menelan  Obliterasi ventrikel

Batuk saat berbaring setelah makan  Granulasi

Sesak nafas/ sensasi seperti tercekik  Thickening of mucous

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

LARYNGEAL ERYTHEMA  Non specific findings

 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