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Warsaw A-E scale of endoscopic pharyngo-laryngeal findings associated with laryngopharyngeal reflux. Correlation with reflux finding score (RFS).

Abstract Changes associated with laryngopharyngeal reflux (LPR) are usually related to the posterior part of the larynx and called "posterior laryngitis". Pathologic reflux-induced mucosal changes within the larynx are easily detected with the use of videolaryngoscopy (VLS). To the multitude of described changes within the larynx that are associated with the existence of LPR Belafsky introduced assessment with 26 scale points describing changes in the larynx (RFS; reflux finding score).
PMID
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Authors

Mayor MeshTerms
Keywords

Chronic cough

Dysphonia

Laryngopharyngeal reflux

Larynx

Videolaryngoscopy

dysfonia

krtań

przewlekły kaszel

refluks

wideolaryngoskopia

Journal Title otolaryngologia polska = the polish otolaryngology
Publication Year Start




PMID- 24981301
OWN - NLM
STAT- MEDLINE
DCOM- 20160801
LR  - 20140701
IS  - 2300-8423 (Electronic)
IS  - 0030-6657 (Linking)
VI  - 68
IP  - 4
DP  - 2014 Jul-Aug
TI  - [Warsaw A-E scale of endoscopic pharyngo-laryngeal findings associated with
      laryngopharyngeal reflux. Correlation with reflux finding score (RFS)].
PG  - 189-95
LID - 10.1016/j.otpol.2013.09.001 [doi]
LID - S0030-6657(13)00173-X [pii]
AB  - INTRODUCTION: Changes associated with laryngopharyngeal reflux (LPR) are usually 
      related to the posterior part of the larynx and called "posterior laryngitis".
      Pathologic reflux-induced mucosal changes within the larynx are easily detected
      with the use of videolaryngoscopy (VLS). To the multitude of described changes
      within the larynx that are associated with the existence of LPR Belafsky
      introduced assessment with 26 scale points describing changes in the larynx (RFS;
      reflux finding score). AIM OF THE STUDY: The aim of this study was to introduce
      our proposal of a new scale of endoscopic pharyngo-laryngeal findings associated 
      with laryngopharyngeal reflux named Warsaw A-E scale. For that reason the new
      scale was compared to the RFS scale of Belafsky. MATERIAL AND METHOD: A total of 
      249 patients were involved in this restospective study. The reflux disease was
      confirmed by gastroenetrologists. Larynx was evaluated with the use of
      videolaryngoscopy. Morphological changes within the larynx and pharynx were
      assessed using 1) the RFS scale according to Belafsky, 2) and using our proposed 
      scale named Warsaw A-E scale. The results were compared. RESULTS: All patients
      received at least 7 points in RFS scale of Belafsky. Using Warsaw A-E scale,
      there were no patients found with the videolaryngoscopic image of the larynx
      classified as A type. In both the women's group, as well as the group of men
      prevailed type C. The comparison of the two scales showed correlation between
      them. CONCLUSIONS: The study showed a statistically significant correlation of
      Warsaw A-E scale of laryngopharyngeal changes with a commonly used scale of RFS
      according to Belafsky. It was found that the Warsaw A-E scale is easier to use
      and less time consuming.
CI  - Copyright (c) 2013 Polish Otorhinolaryngology - Head and Neck Surgery Society.
      Published by Elsevier Urban & Partner Sp. z.o.o. All rights reserved.
FAU - Domeracka-Kolodziej, Anna
AU  - Domeracka-Kolodziej A
AD  - Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego,
      Kierownik Kliniki: prof. dr hab. med. Kazimierz Niemczyk, Warszawa, Polska.
      Electronic address: [email protected]
FAU - Grabczak, Elzbieta M
AU  - Grabczak EM
AD  - Katedra i Klinika Chorob Wewnetrznych, Pneumonologii i Alergologii Warszawskiego 
      Uniwersytetu Medycznego, Kierownik: prof. dr hab. n. med. Ryszarda Chazan,
      Warszawa, Polska.
FAU - Dabrowska, Marta
AU  - Dabrowska M
AD  - Katedra i Klinika Chorob Wewnetrznych, Pneumonologii i Alergologii Warszawskiego 
      Uniwersytetu Medycznego, Kierownik: prof. dr hab. n. med. Ryszarda Chazan,
      Warszawa, Polska.
FAU - Lachowska, Magdalena
AU  - Lachowska M
AD  - Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego,
      Kierownik Kliniki: prof. dr hab. med. Kazimierz Niemczyk, Warszawa, Polska.
FAU - Osuch-Wojcikiewicz, Ewa
AU  - Osuch-Wojcikiewicz E
AD  - Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego,
      Kierownik Kliniki: prof. dr hab. med. Kazimierz Niemczyk, Warszawa, Polska.
FAU - Niemczyk, Kazimierz
AU  - Niemczyk K
AD  - Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego,
      Kierownik Kliniki: prof. dr hab. med. Kazimierz Niemczyk, Warszawa, Polska.
LA  - pol
PT  - English Abstract
PT  - Journal Article
TT  - Skala Warszawska A-E oceny endoskopowych zmian w krtani zwiazanych z refluksem
      gardlowo-krtaniowym. Korelacja ze skala patologii refluksowej (RFS).
DEP - 20130914
PL  - Poland
TA  - Otolaryngol Pol
JT  - Otolaryngologia polska = The Polish otolaryngology
JID - 0404453
SB  - IM
MH  - Adult
MH  - Aged
MH  - Endoscopy, Gastrointestinal/*methods
MH  - Female
MH  - Humans
MH  - Laryngopharyngeal Reflux/*diagnosis
MH  - Laryngoscopy/*methods
MH  - Larynx/*pathology
MH  - Male
MH  - Middle Aged
MH  - Pharynx/*pathology
MH  - Retrospective Studies
MH  - Severity of Illness Index
OTO - NOTNLM
OT  - Chronic cough
OT  - Dysphonia
OT  - Laryngopharyngeal reflux
OT  - Larynx
OT  - Videolaryngoscopy
OT  - dysfonia
OT  - krtan
OT  - przewlekly kaszel
OT  - refluks
OT  - wideolaryngoskopia
EDAT- 2014/07/02 06:00
MHDA- 2016/08/02 06:00
CRDT- 2014/07/02 06:00
PHST- 2013/07/09 00:00 [received]
PHST- 2013/08/22 00:00 [revised]
PHST- 2013/09/11 00:00 [accepted]
PHST- 2014/07/02 06:00 [entrez]
PHST- 2014/07/02 06:00 [pubmed]
PHST- 2016/08/02 06:00 [medline]
AID - S0030-6657(13)00173-X [pii]
AID - 10.1016/j.otpol.2013.09.001 [doi]
PST - ppublish
SO  - Otolaryngol Pol. 2014 Jul-Aug;68(4):189-95. doi: 10.1016/j.otpol.2013.09.001.
      Epub 2013 Sep 14.