This potential observational study was carried out on 61 Consecutive people attending the Otorhinolaryngology Clinic, Qena University Medical center from November 2017 till September 2018. The clients included in this review have been introduced to ENT department with persistent laryngeal indicators of cough, sore throat, throat clearing, globus or hoarseness https://www.directivepublications.org/journal-of-gastroenterology-hepatology-and-endoscopy-research/