Characteristics of laryngopharyngeal reflux in patients with chronic otitis media

Han, Honglei; Lv, Qiuping

doi:10.1016/j.amjoto.2018.05.010

Cited by 14 publications

(21 citation statements)

References 20 publications

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“…The current survey reveals similar lack of awareness of the potential role of LPR in development of laryngotracheal stenosis and chronic media otitis, despite an increasing literature which supports this relationship. 10,11,26,27 Surprisingly, non-laryngologists seem to be unaware about the role of LPR in bronchial diseases such as asthma; however, many studies have demonstrated that LPR is involved in the development of bronchial hypersensitivity conditions, such as asthma, 28,29 or chronic obstructive pulmonary disease. 30 In the current survey, the largest differences between laryngologists and non-laryngologists concern diagnostic approach towards LPR, particularly with regard to examinations such as esophagoscopy and MII-pH.…”

Section: Discussionmentioning

confidence: 99%

“…The survey itself was developed in iterative fashion, with drafts revised by both three certified otolaryngologists, including one laryngologist (phoniatrician). In the final version of the survey, there were 21 questions divided into five sections: definition and epidemiology (3), clinical presentation (4), diagnostic approach (3), treatment (10), and skills (1) (Appendix 1). About reflux sign assessment, the responders were invited to answer to the question if they use at least flexible scopes for assessing findings.…”

Section: Methodsmentioning

confidence: 99%

“…Since then, an increasing number of studies support association of LPR with the development of many prevalent ear, nose, and throat (ENT) diseases such as chronic rhinosinusitis, 8 acute and chronic media otitis, [9][10][11] or cancer. 12,13 The involvement of LPR in ENT diseases is particularly high in laryngeal diseases, such as laryngotracheal stenosis, 14 spasmodic dysphonia, 15 leukoplakia, 16,17 granuloma, 18 and benign lesion of the vocal folds.…”

Section: Introductionmentioning

confidence: 99%

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Do Laryngologists and General Otolaryngologists Manage Laryngopharyngeal Reflux Differently?

et al. 2020

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Objective To investigate current practices of laryngologists and non‐laryngologists in management of Laryngopharyngeal Reflux (LPR). Methods An online survey was sent to members of otolaryngology societies about LPR, and subgroup analysis was performed between laryngologists and non‐laryngologists. This survey was conducted by the LPR Study Group of Young Otolaryngologists of the International Federation of Otolaryngological Societies. Results A total of 535 otolaryngologists completed the survey. Among them, 127 were laryngologists and 408 were non‐laryngologists. Collectively, symptoms most commonly attributed to LPR are cough after lying down/meal, throat clearing, and acid brash; most common findings are thought to be arytenoid erythema and posterior commissure hypertrophy. Respectively, 12.5% and 5% of non‐laryngologists and laryngologists believe that ≥50% of LPR patients suffer from heartburn (P = .010). Non‐laryngologists are more aware about some extra‐laryngeal findings associated with LPR (eg, pharyngeal erythema) than laryngologists. Neither laryngologists nor non‐laryngologists associated development of benign lesions of the vocal folds with reflux. The management of LPR substantially differs between groups, with laryngologists indicating increased awareness of (impedance)‐pH monitoring as well as the prevalence and treatment of nonacid/mixed LPR. Conversely, non‐laryngologists are much more likely to include gastroenterology referral in their management of presumed LPR. Respectively, 44.8% and 27.6% of non‐laryngologists and laryngologists believe themselves not sufficiently knowledgeable about LPR. Conclusions Significant differences exist between laryngologists and non‐laryngologists in diagnosis and treatment of LPR. Overall only one‐third of responders believe themselves to be sufficiently educated about LPR. Level of Evidence 4 Laryngoscope, 130:E539–E547, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Do Laryngologists and General Otolaryngologists Manage Laryngopharyngeal Reflux Differently?

et al. 2020

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“…The exclusion criteria were: (1) patients with benign and malignant tumors of the nose, pharynx, and ear; (2) patients with acute and chronic sinusitis, chronic suppurative otitis media, and tympanic membrane perforation; (3) patients with esophageal spasm and achalasia; (4) patients with esophagitis, gastroesophageal tumor, and history of digestive tract surgery; (5) those who had taken acid suppressants within the past 2 weeks; (6) patients with a history of acute and chronic gastrointestinal diseases; (7) patients with a history of upper respiratory infection in the past 2 months, and (8) smokers.…”

Section: Exclusion Criteriamentioning

confidence: 99%

“…The etiology of secretory otitis media in adults is complex and related to many factors [5]. Laryngopharyngeal reflux disease (LPRD), pharyngitis, sinusitis, and respiratory dysfunction are common predisposing factors [6][7][8]. Animal models have confirmed that gastric contents can cause inflammation in the throat and nasal cavity, and can reach the tympanum through the eustachian tube [9].…”

Section: Introductionmentioning

confidence: 99%

Can Reflux Symptom Index and Reflux Finding Score Be Used to Guide the Treatment of Secretory Otitis Media in Adults?

Pang

et al. 2020

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Background: At present more attention is paid to the treatment of secretory otitis media in children, but there is also a high incidence of adult patients. The etiology of secretory otitis media in adults is complex and related to many factors. Objectives: The aim of this study was to evaluate the correlation between the Reflux Symptom Index (RSI)/Reflux Finding Score (RFS) and secretory otitis media in adults, and to explore further treatment methods. Material and Methods: Taking outpatients in the otology department from January 2017 to May 2019 as the object of study, acoustic immittance tests were performed and the results analyzed. Patients with secretory otitis media received tympanocentesis or tympanotomy and the related components were analyzed. The patients were followed up and the curative effects of different treatment schemes were compared. Results: There were 67 patients with secretory otitis media. The prevalence of secretory otitis media in patients with RSI > 13 was significantly higher than that in patients with RSI < 13. The prevalence of secretory otitis media in patients with RFS > 7 was significantly higher than that in patients with RFS < 7 (p < 0 05). The RSI/RFS score of B tympanogram was significantly higher than that of A and C maps (p < 0.05). Among the patients with type B, the serous type was higher in those with an RSI score < 13, and the mucus was higher in those with an RSI score > 13 (p < 0.05). There was no significant difference in the proportion of glue patients (p > 0.05). In type B patients, the detection rate of pepsin in the experimental group was significantly higher than that in the control group (p < 0.05), and the scores of RSI/RFS in the pepsin-positive group were significantly higher than those in the negative group (p < 0.05). Treatment with acid-suppressive drugs in patients with abnormal RSI/ RFS achieved better results (p < 0.05). Conclusions: RSI/RFS may be related to the development of secretory otitis media in adults, and could play a guiding role in its treatment.

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ENT Complaints in GERD

2021

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Characteristics of laryngopharyngeal reflux in patients with chronic otitis media

Cited by 14 publications

References 20 publications

Do Laryngologists and General Otolaryngologists Manage Laryngopharyngeal Reflux Differently?

Do Laryngologists and General Otolaryngologists Manage Laryngopharyngeal Reflux Differently?

Can Reflux Symptom Index and Reflux Finding Score Be Used to Guide the Treatment of Secretory Otitis Media in Adults?

ENT Complaints in GERD

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