Gastroesophageal Reflux Contributing to Chronic Sinus Disease in Children

Abstract

The children in this population had a prevalence of GER that was significantly higher than expected. Furthermore, most children with GER demonstrated improvement of sinus disease after treatment of GER. We recommend that children with CSD refractory to aggressive medical management be evaluated for GER and, if GER is present, be treated accordingly, before sinus surgery is considered.

Correlation between chronic rhinosinusitis and laryngopharyngeal reflux

“…[15] DiBaise et al showed a higher number 81.8% of patients with CRS had reflux disease [16] and Phipps et al had reported 63% of patients with CRS had reflux. [17] Foreign body sensation in throat was the most common symptom, and posterior laryngeal congestion was the most common sign in our study [ Table 2]. Ulualp et al also found signs of posterior laryngitis in patients with refractory CRS.…”

Twenty-four-hour esophageal pH monitoring in children and adolescents with chronic and/or recurrent rhinosinusitis

“…In the present study, GERD was identified in 1 (10%) of the 10 patients with chronic rhinosinusitis, therefore, in a smaller proportion of patients than reported in previous studies (5,6,9,11). It should be mentioned that a well-established diagnosis of chronic and/or recurrent rhinosinusitis in children is not very frequent, especially when children with bronchial asthma are excluded from the samples studied.…”

pH nasofaríngeo e refluxo gastroesofágico em crianças com doença respiratória crônica

“…The mechanisms responsible for these relationships, however, are not well known. 7,25 In the present study, two children presented vocal cord granulomas. In one case the granuloma disappeared, whereas in the other one it was still present after 12 weeks of treatment with proton pump inhibitors (PPI).…”