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Laryngeal signs and symptoms and gastroesophageal reflux disease (GERD): a critical assessment of cause and effect association  Michael F Vaezi, Douglas.

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Presentation on theme: "Laryngeal signs and symptoms and gastroesophageal reflux disease (GERD): a critical assessment of cause and effect association  Michael F Vaezi, Douglas."— Presentation transcript:

1 Laryngeal signs and symptoms and gastroesophageal reflux disease (GERD): a critical assessment of cause and effect association  Michael F Vaezi, Douglas M Hicks, Tom I Abelson, Joel E Richter  Clinical Gastroenterology and Hepatology  Volume 1, Issue 5, Pages (September 2003) DOI: /S (03)

2 Figure 1 Four independent areas of GERD and laryngitis with unresolved questions. Clinical Gastroenterology and Hepatology 2003 1, DOI: ( /S (03) )

3 Figure 2 Normal laryngeal tissue. TVF, true vocal fold; FVF, false vocal fold; AMW, arytenoid medial wall; AC, arytenoid complex; PCW, posterior cricoid wall; PPW, posterior pharyngeal wall. Clinical Gastroenterology and Hepatology 2003 1, DOI: ( /S (03) )

4 Figure 3 Abnormal larynx. (A) Leukoplakia; (B) Reinke’s edema; (C) bilateral true vocal fold nodules; (D) true vocal fold hemorrhagic polyp; (E) true vocal fold erythema; (F) vocal fold granuloma; (G) interarytenoid bar; (H) arytenoid medial wall erythema; (I) posterior pharyngeal wall cobble stoning. Clinical Gastroenterology and Hepatology 2003 1, DOI: ( /S (03) )

5 Figure 4 The reflux pyramid. Response to acid suppression and prevalence of GERD is best at the base of the pyramid. Clinical Gastroenterology and Hepatology 2003 1, DOI: ( /S (03) )


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