Laryngopharyngeal Reflux in Children with Chronic Otitis Media with Effusion.
- Author:
Anna GÓRECKA-TUTEJA
1
;
Izabela JASTRZĘBSKA
;
Jacek SKŁADZIEŃ
;
Krzysztof FYDEREK
Author Information
- Publication Type:Original Article
- Keywords: Child; Electric impedance; Esophageal pH monitoring; Laryngopharyngeal reflux; Otitis media with effusion
- MeSH: Child*; Diagnosis; Electric Impedance; Esophageal pH Monitoring; Esophageal Sphincter, Lower; Esophageal Sphincter, Upper; Gastroesophageal Reflux; Humans; Hydrogen-Ion Concentration; Laryngopharyngeal Reflux*; Otitis Media with Effusion*; Otitis Media*; Otitis*; Parents; Pediatrics; Risk Factors
- From:Journal of Neurogastroenterology and Motility 2016;22(3):452-458
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: To 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. METHODS: Children 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. RESULTS: Twenty-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. CONCLUSIONS: LPR was frequently noted in the group of children with OME, and it might be an important risk factor in this common disease.
