Assessment of video-laryngoscopic examination in patients of LPRD in a tertiary care hospital

Background: Laryngopharyngeal reflux disease (LPRD) is characterized by vague symptoms, often leading to delayed presentation and advanced disease, potentially increasing the risk of malignancy. The extent and clinical features of this condition remain poorly understood among patients seeking Otorhinolaryngology services in Bihar. Methods: This descriptive cross-sectional study was conducted at Narayan Medical College and Hospital within the Department of Otorhinolaryngology. It included patients exhibiting symptoms of Laryngopharyngeal reflux disease. Data collection utilized questionnaires and clinical examination forms, with analysis performed using Microsoft Excel. Results were presented through frequency tables, cross-tabulations, and figures. Results: In this study, 210 participants were enrolled, of whom 137 (65.24%) were females. The median age was 35.5 years with an interquartile range of 21-50 years. The prevalence of Laryngopharyngeal reflux disease was found to be 18.57%, with no gender preference observed. The most common symptoms reported were globus sensation and hoarseness of voice, affecting 97.44% and 94.87% of participants, respectively. The most frequently observed signs included thick endo laryngeal mucus (94.87%) and erythema/hyperemia (84.62%). Risk factors identified included lying down within two hours after meals and consumption of spicy foods. The most prevalent comorbid conditions associated with Laryngopharyngeal reflux disease were hypertension and Type 2 diabetes Mellitus. Conclusion: The prevalence of laryngopharyngeal reflux disease is high among patients attending Otorhinolaryngology services at Narayan medical College and hospital. All patients with laryngopharyngeal reflux disease related symptoms should get thorough evaluation for early diagnosis and treatment.