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Laryngopharyngeal Reflux

Laryngopharyngeal Reflux (LPR) was first reported as a possible cause of granuloma on the vocal fold in 1968. Differs from gastroenterological patients in that voice patients do not have oesophagitis, and are generally upright daytime refluxers.

Although incidence in Laryngology is unknown and its presence does not establish a causal link for the pathology in the larynx, it is often associated with them.

Trial of anti-reflux medication such as Nexium at a dose of 80mg daily is warranted for a period of two months.

It is a common cause of muscle tension disorder or contraction of the non voice part of the larynx.

See also St Vincent's Voice and Swallowing Courses for clinicians.