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European Archives of Oto-Rhino-Laryngology

Published in:

01-06-2021 | Gastroesophageal Reflux Disease | Laryngology

Impact of subspecialty training on management of laryngopharyngeal reflux: results of a worldwide survey

Authors: Jerome R. Lechien, Thomas L. Carroll, Jacqueline E. Allen, Tareck Ayad, Necati Enver, Young-Gyu Eun, Paulo S. Perazzo, Fabio Pupo Ceccon, Geraldo D. Sant’Anna, Rui Imamura, Sampath Kumar Raghunandhan, Carlos M. Chiesa-Estomba, Christian Calvo-Henriquez, Sven Saussez, Petros D. Karkos, Marc Remacle, Lee M. Akst, Jonathan M. Bock

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2021

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.

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Title: Impact of subspecialty training on management of laryngopharyngeal reflux: results of a worldwide survey
Authors: Jerome R. Lechien
Thomas L. Carroll
Jacqueline E. Allen
Tareck Ayad
Necati Enver
Young-Gyu Eun
Paulo S. Perazzo
Fabio Pupo Ceccon
Geraldo D. Sant’Anna
Rui Imamura
Sampath Kumar Raghunandhan
Carlos M. Chiesa-Estomba
Christian Calvo-Henriquez
Sven Saussez
Petros D. Karkos
Marc Remacle
Lee M. Akst
Jonathan M. Bock
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Keywords: Gastroesophageal Reflux Disease
Erythema
Laryngopharyngeal Reflux
Published in: European Archives of Oto-Rhino-Laryngology / Issue 6/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-021-06710-y

At a glance: The STEP trials

Springer Medicine

Impact of subspecialty training on management of laryngopharyngeal reflux: results of a worldwide survey

Abstract

Objective

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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