This future observational examine was done on sixty one Consecutive clients attending the Otorhinolaryngology Clinic, Qena University Hospital from November 2017 until September 2018. The people A part of this examine have been offered to ENT department with persistent laryngeal signs or symptoms of cough, sore throat, throat clearing, globus https://www.directivepublications.org/journal-of-gastroenterology-hepatology-and-endoscopy-research/