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Ex juvantibus approach for chronic posterior laryngitis: results of short-term pantoprazole therapy

  • Walter Habermann (a1), Andreas Eherer (a2), Franz Lindbichler (a3), Johann Raith (a3) and Gerhard Friedrich (a1)...

Abstract

The aim of this study was to investigate whether patients with chronic posterior laryngitis and symptoms of gastro-pharyngeal reflux benefit from a six-week therapy with pantoprozole. Twenty-nine out-patients with voice disorders (case history of at least two months) and simultaneous symptoms of gastropharyngeal reflux were recruited for this study. At the entry to the study a symptom questionnaire and a videolaryngo/stroboscopy were completed. The symptom questionnaire and the video-laryngo/stroboscopy were repeated after the six weeks of therapy with pantoprazole 40 mg once a day and again six weeks and three months after this follow-up, during which time the patient was without therapy.

Hoarseness, globus pharyngeus, sore throat, heartburn, and coughing were the symptoms which showed a significant (p<0.05) recovery at the follow-ups (mean of hoarseness index: 7.28 to 0.92; mean of globus pharyngeus index: 3.14 to 0.58; mean of heartburn index: 2.86 to 0.5; mean of cough index: 1.72 to 0.25; mean of throat soreness index: 1.72 to 0.15). Laryngoscopy scores of the posterior laryngeal region, the glottic and the supraglottic region showed statistically significant improvement (p<0.05) after the treatment with pantoprazole. The therapeutic effect exceeded the drug administration until the last follow-up (after three months). The medication was tolerated without side-effects in all patients.

A primary (ex juvantibus) therapy with proton pump inhibitors seems to be a therapeutic option for patients with long-lasting chronic inflammation of the larynx not responding to common therapy. In this case a six-week course of treatment has been shown to be sufficient.

Copyright

Corresponding author

Address for correspondence: W. Habermann, Department of ENT, University of Graz, Medical School, Auenbruggerplatz 20, A-8010 Graz, Austria e-mail: w_habermann@yahoo.com.

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Keywords

Ex juvantibus approach for chronic posterior laryngitis: results of short-term pantoprazole therapy

  • Walter Habermann (a1), Andreas Eherer (a2), Franz Lindbichler (a3), Johann Raith (a3) and Gerhard Friedrich (a1)...

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