The study concluded that, where laryngeal tone and sensorimotor integrative function of the larynx is altered, the degree of alteration correlated with disease severity. This indicates factors that alter the peripheral and central reflexes of the laryngeal adductor reflux have a role in the etiology of the disease. Factors such as GERD, neurologic disease, and low Apgar scores influenced severity and clinical course, which explains the spectrum of disease symptoms and outcomes.
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