This potential observational review was performed on sixty one Consecutive clients attending the Otorhinolaryngology Clinic, Qena University Medical center from November 2017 until September 2018. The clients included in this research were introduced to ENT Section with persistent laryngeal signs and symptoms of cough, sore throat, throat clearing, globus or https://www.directivepublications.org/journal-of-gastroenterology-hepatology-and-endoscopy-research/