Pribuiien

(laryngeal

(reflux

reflux index, LRI)

laryngitis)

(1)

(arytenoids) (2)

Cherry Margulies (1968)

(interarytenoid notch) (3)

(acid barium meal)

(false vocal cord) (4)(vocal

(contact ulcer)

cord)

(1)

0=1=

(reflux peptic esophagitis )

2=3=

4=(2)

0=1=(3)

0=1=

(1)

Pribuiien

(reflux

laryngitis)

(1)

(mucosal lesions of vocal

cords) (2)(edema of

249

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2014. vol. 22, No.3

vocal cords) (3)

Balafsky

(mucosal lesions of the

interarytenoid notch)

(subglottic edema)

(ventricular obliteration )

(laryngeal erythema or

(posterior

hyperemia)(vocal fold

portion of larynx)

edema)(diffuse

(2)

laryngeal edema)

Balafsky

(hypertrophy of posterior

commissure)

(granuloma or granulation

(posterior

tissue)(thick

laryngeal hypertrophy)40

endolaryngeal mucus )

(reflux finding score)(RFS)

Koufman (1991)

.95 (p

<.01).90

(p <.01)

(pseudosulcus vocalis)(3)

(anterior commissure)

(sulcus vocalis)

11.5 ( 5.2 SD)

66.1 ( 5.2 SD)

(lamina propria)

(2)

250

()

(size of the

(false vocal

airway)

folds)

(ventricle)

(mild=1)

(obliterated)

(moderate=2)

(partial)

(severe=3)
(obliterated=4)

(mustache-like)

(mild=1)

(arytenoids)

(moderate=2)

(bulging of the
posterior larynx into the larynx)

(severe=3)

1~4(mild=1)

(moderate=2)

(obliterated=4)

(severe=3)

(sessile)

(polypoid

degeneration)Reinkes

20

251

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2014. vol. 22, No.3

(contact ulcer )

20

026Ford(2005)

(4)

(granulma)(vocal
nodules)(arytenoid
fixation)(3)

(5)

(specificity)

Balafsky

Pribuiien

Ford

(subglottic stenosis)
(laryngeal carcinoma)

252

1. Pribuiien R, Uloza V, Kupinskas1

L:Diagnostic sensitivity and
specificity of laryngoscopic signs of
reflux laryngitis. Medicina (Kaunas)
2008;44:280-287.
2. Belafsky PC, Postma GN, Koufman JA:

The validity and reliability of the reflux

injury. Laryngoscope 1991;101:1-78.

finding score (RFS). Laryngoscope

4. Ford CN: Evaluation and management

2001;111:13131317.

of laryngopharyngeal reflux. The

3.Koufman JA: Manifestations of

Jourmal of the American Medical

gastroesophageal reflux disease

Association 2005;294:1534-1540.

(GERD): a clinical investigation of

5. Hicks DM, Ours TM, Abelson TI: The

225 patients using ambulatory 24-hour

prevalence of hypopharyngeal findings

pH monitoring and an experimental

associated with gastroesophageal reflux

investigation of the role of acid and

in normal volunteers. Journal of Voic

pepsin in the development of laryngeal

2002;16:564 79.

1. (thyroid cartilage)
2. (vestibule
3. (ventricle)
4. (false cord)
5. (true vocal cord)
6. (vocal ligment)
7. (intrinsic muscles)
8. (conus elasticus)
9. (epiglottis)
10.(anterior commisure)
11.(posterior commisure)
12.(arytenoid cartilage)
13.(pyriform sinus)
14.(aryepiglottic fold)

253