Laryngopharyngeal reflux (LPR) is a condition in which gastric contents flow in a retrograde fashion and contact the tissues of the upper aerodigestive tract. LPR may be associated with hoarseness, frequent throat clearing, cough, globus sensation, refractory asthma, laryngeal ulcers and granulomas, subglottic stenosis, and carcinoma, among other conditions. Diagnosis and treatment of LPR are within the scope of practice of Otolaryngology - Head & Neck Surgery. Expert opinion and clinical experience support the use of high-dose proton pump inhibitor therapy (often two to four times the dose recommended routinely for treatment of distal gastroesophageal reflux disease (GERD), for prolonged periods of time. Surgery to control reflux may be necessary in some patients with LPR.
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Position statements are approved by the American Academy of OtolaryngologyHead and Neck Surgery, Inc. or Foundation (AAO-HNS/F) Boards of Directors and are typically generated from AAO-HNS/F committees. Once approved by the Academy or Foundation Board of Directors, they become official position statements and are added to the existing position statement library. In no sense do they represent a standard of care. The applicability of position statements, as guidance for a procedure, must be determined by the responsible physician in light of all the circumstances presented by the individual patient. Adherence to these clinical position statements will not ensure successful treatment in every situation. As with all AAO-HNS/F guidance, this position statement should not be deemed inclusive of all proper treatment decisions or methods of care, nor exclusive of other treatment decisions or methods of care reasonably directed to obtaining the same results.