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This comprehensive text provides the reader with an in-depth
understanding of laryngopharyngeal reflux (LPR), and presents a
practical and readable evidence-based approach to the diagnosis and
management of patients with this condition. It highlights options
for management of those patients who fail to improve with
traditional reflux treatment and assists in determining the next
steps in the management of this population. Information is
presented from an inter-disciplinary perspective, including input
by otolaryngology, gastroenterology, speech pathology, and
complementary/integrative medicine. The first section of the book
is dedicated to understanding the fundamentals of laryngopharyngeal
reflux as a condition. It begins with a review of the fundamental
anatomy and pathophysiology of LPR and summarizes the landmark and
most recent advances in the scientific understanding of this
condition. Subsequent chapters delve into the typical symptoms and
clinical presentations of patients, with information provided on
cost-effective work-up strategies to confirm the diagnosis. The
second section focuses on management of this condition. It begins
with a thorough review of traditional medical management, including
use of proton pump inhibitors, histamine receptor antagonists,
neutralizing agents, low acid diet, alkalinizing agents, and
alginates. Surgical management is reviewed as well, including
partial and full fundoplication operations. It concludes with
"non-traditional" treatment options for LPR, with chapters
dedicated to voice therapy, probiotics, herbal therapies, and
integrative East-West medicine approaches. Laryngopharyngeal Reflux
Disease will be a definitive guide for otolaryngologists,
gastroenterologists, speech pathologists, and general physicians
with an interest in traditional and complementary/integrative
treatments for patients with laryngopharyngeal reflux.
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