“…The putative contribution of LPR was deduced from the fact that radiation-induced mucositis ameliorated after PPI administration. Nakamura showed that, on pathological examination, LPR caused mucosal damage in the postcricoid area [4]; however, in patient 2, PPI-responsive mucositis was apparent in the epiglottic vallecula. Therefore, it could be speculated that, in some cases, LPR may damage a wide area of the pharyngeal mucosa, reaching as far as the epiglottic vallecula, which may be one of the causes of severe radiation-induced mucositis.…”