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.
About the Author: Marilene B. Wang, MD, Professor, Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles Marlene is a head and neck surgeon who has been a faculty member of the Division of Head and Neck Surgery at UCLA School of Medicine since 1992. She is currently a Professor and is also Chief of Otolaryngology for the VA Greater Los Angeles Healthcare System. Dr. Wang earned her B.A. in Mathematics with highest honors at La Sierra University, Riverside, CA in 1982. She earned her M.D. at Loma Linda University School of Medicine, Loma Linda, CA in 1986 and graduated first in her class of 134. She completed her residency in Head and Neck Surgery at UCLA in 1992. She won the First Place Award in Resident Clinical Research from the American Academy of Otolaryngology--Head and Neck Surgery in 1991. She was a recipient of a Research Training Award from the American Triological Society in 1993. Dr. Wang was given an Honor Award from the American Academy of Otolaryngology--Head and Neck Surgery in 2001. She was a member of the Faculty Executive Committee at the School of Medicine from 1998-2001. She is committed to medical student and resident education both in the clinical setting and in the laboratory. She has mentored many students and residents in her head and neck cancer research laboratory, and several have won prestigious awards for their projects in the laboratory, including the Shirley Baron Award from the Western Section of the Triological Society, a Basic Science Award for resident research from the American Academy of Otolaryngology--Head and Neck Surgery, and a First Place Award for the Poster Session of the Triological Society. She specializes in treatment of nasal and sinus diseases, head and neck cancer, thyroid/parathyroid disease, and snoring/sleep apnea. She utilizes minimally invasive endoscopic techniques for sinus surgery and removal of sinonasal tumors, including endoscopic removal of juvenile nasal angiofibromas, inverting papillomas, and selected malignancies. She also is active in the Pituitary Tumor and Endosopic Neurosurgery Programs.Nausheen Jamal, MD
Assistant Professor, Otolaryngology/Head and Neck Surgery, Temple University School of Medicine
Specialties: Voice, airway and swallowing disorders
Training: Fellowship, Laryngology, Ronald Reagan
UCLA Medical Center; Residency, Otorhinolaryngology--Head & Neck Surgery, Albert Einstein College of Medicine Affiliated Hospitals
