Correlation of Findings at Direct Laryngoscopy and Bronchoscopy With Gastroesophageal Reflux Disease in Children

Abstract

Many direct laryngoscopic and bronchoscopic findings correlate well with the diagnosis of GERD as determined by using other tests.

Nasal pain disrupting sleep as a presenting symptom of extraesophageal acid reflux in children

“…The frequency of observation of laryngeal sign of EERD varies among the studies. In children, findings of arytenoid edema, postglottic edema, enlarged lingual tonsils, ventricle obliteration, and true vocal fold edema are reported in the presence of EERD [3]. In the present patient, endoscopy revealed posterior glottic edema, and thickened vocal cords with edema at the anterior 1/3 vocal cord indicative of EERD.…”

“…Children suffering from EERD may present with cough [2], laryngitis [3], recurrent croup [4,5], laryngomalacia [6,7], apparent life threatening event [8], apnea [9], asthma [10], subglottic stenosis [11,12], chronic aspiration, sleep disorders [13], otalgia, and rhinosinusitis [14,15]. The typical symptoms of gastroesophageal acid reflux disease (symptoms or tissue damage caused by esophageal reflux of gastric contents with or without esophageal inflammation) such as heartburn occur uncommonly in patients with EERD [16].…”

Predictive value of laryngeal pseudosulcus for gastroesophageal reflux in pediatric patients

“…As well, the clinical picture for LPR is different from GERD; the former are unlikely to have heartburn, have shorter periods of acid exposure, and do not often have esophageal motility disorders [3]. Attention has turned to careful physical examination of the airway [4,5] and correlation of subtle anatomic changes with reflux. Posterior laryngitis, ranging from erythema and edema to pachyderm changes in the interarytenoid region, and from contact granuloma formation [6] to diffuse vocal fold edema [3,7] have a long-recognized association with reflux in adults.…”

Hipertrofia de amígdala lingual y apnea obstructiva del sueño en población pediátrica: Una asociación a considerar

“…Al comparar laringoscopías de niños con RGE y aquellos sin RGE, se observa una diferencia significativa en el tamaño de la AL 10 . Los niños obesos tienen una elevada frecuencia de HAL, cercana al 60%, particularmente si han sido sometidos a AA previamente, siendo mayor que en niños no obesos con AOS, o con síndrome de Down y AOS.…”