This future observational study was done on 61 Consecutive clients attending the Otorhinolaryngology Clinic, Qena College Hospital from November 2017 till September 2018. The individuals included in this research were being offered to ENT Office with persistent laryngeal signs and symptoms of cough, sore throat, throat clearing, globus or hoarseness https://www.directivepublications.org/journal-of-gastroenterology-hepatology-and-endoscopy-research/