This Possible observational examine was performed on sixty one Consecutive individuals attending the Otorhinolaryngology Clinic, Qena University Clinic from November 2017 till September 2018. The sufferers A part of this review had been presented to ENT Division with persistent laryngeal symptoms of cough, sore throat, throat clearing, globus or hoarseness https://www.directivepublications.org/journal-of-gastroenterology-hepatology-and-endoscopy-research/