Pharyngeal reflux in children with chronic otitis media with effusion

Keleş, Bahar; Öztürk, Kayhan; Günel, Engi ̇n; Arbağ, Hamdi; Özer, Bedri

doi:10.1080/00016480410017134

Cited by 38 publications

(39 citation statements)

References 11 publications

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“…Recent studies have shown that the exposure of the upper aerodigestive tract to gastric secretion results in numerous pathologic conditions. Chronic sinusitis, chronic cough, subglottic stenosis, recurrent croup, laryngomalacia, reflex apnea, asthma, recurrent otitis media [4] and also chronic otitis media with effusion [5] may be caused or exacerbated by GER. Diagnosis of GER with extraesophgeal extension is difficult.…”

Section: Methodsmentioning

confidence: 99%

Frequency of pharyngeal reflux in children with adenoid hyperplasia

Keles

Öztürk

Arbağ

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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Section: Methodsmentioning

confidence: 99%

Frequency of pharyngeal reflux in children with adenoid hyperplasia

Keles

Öztürk

Arbağ

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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“…[20][21][22][23] Abd El-Fattah et al 20 used dual pH monitoring with the upper pH probe 1 cm above the UES. In a group of 31 children with OME, they diagnosed GER in 6 patients and LPR in 71% of the patients using the cutoff value of pH < 4.0.…”

mentioning

confidence: 99%

“…In a second study, Rozmanic et al 21 applied a dual pH catheter with an upper pH probe in 11 children with OME, and recognized LPR in 3 children and GER in 6 children. Keles et al 22 examined children with OME using a dual pH probe with an upper pH sensor in the proximal esophagus. Other authors have applied a single pH sensor in the distal esophagus.…”

mentioning

confidence: 99%

Laryngopharyngeal Reflux in Children with Chronic Otitis Media with Effusion

Górecka-Tuteja¹,

Jastrzębska

Składzień

et al. 2016

J Neurogastroenterol Motil

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Background/AimsTo evaluate the characteristic properties of laryngopharyngeal reflux (LPR) and gastroesophageal reflux (GER) in children with otitis media with effusion (OME) using 24-hour multichannel intraluminal impedance combined with dual-probe (pharyngeal and esophageal) pH-metry. MethodsChildren aged 7-10 years of age with OME underwent 24-hour multichannel intraluminal impedance pH-metry. The upper pH sensor was situated 1 cm above the upper esophageal sphincter, and the lower pH sensor was placed 3-5 cm above the lower esophageal sphincter. Parents were asked to complete the gastroesophageal reflux assessment of symptoms in a pediatrics questionnaire. ResultsTwenty-eight children were enrolled; LPR was detected in 19 (67.9%) children. The criteria of the LPR diagnosis was the presence of at least one supraesophageal episode with a pH < 5.0 and a change in the pH value measured from the initial level at the upper sensor of > 0.2. In total, 64 episodes were observed. Assessment of all LPR episodes showed the presence of 246 episodes in the entire study. A considerable predominance of weakly acidic episodes (87.8%) was noted; there were 6.5% acidic episodes, and weakly alkaline episodes reached 5.7%. Pathological GER was noted in 10 (35.7%) subjects. Acid GER was detected in 8 children, 2 of whom demonstrated non-acidic reflux. In the LPR-negative patients, no pathological GER was confirmed with the exception of a single case of non-acidic reflux. ConclusionsLPR was frequently noted in the group of children with OME, and it might be an important risk factor in this common disease.

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“…pH probe evidence for GERD is found in up to 56% of children with chronic serous and recurrent otitis media. In children with evidence of pharyngeal and esophageal refl ux on double-probe pH testing, a 10-fold and 5.3-fold greater risk, respectively, of developing middle ear fl uid has been documented compared with children with normal pH studies [25,26].…”

Section: Pathophysiology Of Eord In Otitis Mediamentioning

confidence: 98%

Gastric pepsin in middle ear fluid of children with otitis media: Clinical implications

He¹,

O’Reilly

Mehta³

2008

Curr Allergy Asthma Rep

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Gastroesophageal reflux and extraesophageal reflux have been postulated to be involved in the pathogenesis of otitis media. This is supported by recent studies revealing the presence of gastric pepsin in the middle ear space of children with otitis media but not in control patients without otitis media. Reflux's role in otitis media appears to be most pronounced in younger children and those with purulent effusions.

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Pharyngeal reflux in children with chronic otitis media with effusion

Cited by 38 publications

References 11 publications

Frequency of pharyngeal reflux in children with adenoid hyperplasia

Frequency of pharyngeal reflux in children with adenoid hyperplasia

Laryngopharyngeal Reflux in Children with Chronic Otitis Media with Effusion

Gastric pepsin in middle ear fluid of children with otitis media: Clinical implications

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