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2006, Number 4

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Acta Pediatr Mex 2006; 27 (4)

Otorrhinolaryngologic manifestations of gastro-esophageal reflux

Medrano TMC, Sánchez RC, Dosal de la RR, Abarca ME, Soto AL

Language: Spanish
References: 24
Page: 200-204
PDF size: 264.00 Kb.


ABSTRACT

There are many terms addressing this disease: laringopharyngeal reflux (LPR), posterior laryngitis, supraesophageal manifestation of gastroesophageal reflux, extraesophageal reflux. In this paper we will use the term laryngopharyngeal reflux. The prevalence of reflux in patients with voice disorders may be as high as 50%. Reflux symptoms include hoarseness, cough, vocal fatigue, globus, excessive throat clearing, dysphonia and dysphagia. The laryngeal physical findings of uncomplicated LPR include edema, posterior glotic erythema and mucosal swelling. The presence of a pseudosulcus is highly suggestive of LPR. Even though this is a common problem, its diagnosis may be difficult because of its non-specific symptoms and laryngeal findings which are not always associated with the severity of the symptoms. The purpose of this investigation was to review the literature in search of the main signs and symptoms of LPR which might orient the physicians in the diagnosis of the disease in the pediatric population as well as to dictate treatment paths for this special age group.


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