Proximal pharyngeal reflux correlates with increasing severity of lingual tonsil hypertrophy

DelGaudio, John M.; Naseri, Iman; Wise, Justin C.

doi:10.1016/j.otohns.2007.12.023

Cited by 29 publications

(36 citation statements)

References 25 publications

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“…This scale does not consider extra-laryngeal signs such as pharyngeal sticky mucus, pharyngeal wall erythema, and tongue tonsil hypertrophy, although many studies that reported that these signs may be associated with LPR. [33][34][35] Finally, we classified the RSI and the ERFS as reliable instruments for the post-treatment follow-up of individuals with LPR, with an emphasis on the RSI, which demonstrated better results.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Reflux Symptom Index and the Endolaryngeal Findings Scale after Treatment in Individuals with Laryngopharyngeal Reflux

Silva

Duprat

Machado

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Laryngopharyngeal reflux (LPR) is a prevalent condition in outpatients visiting the otorhinolaryngological clinic, with many controversies regarding its diagnosis and follow-up. Therefore, there is a need for clinical instruments that can diagnose individuals and monitor the results of their treatment. Objective To evaluate the applicability of the scores translated and adapted to Brazilian Portuguese: Reflux Symptom Index (RSI) and Endolaryngeal Reflux Findings Scale (ERFS), as instruments for post-treatment follow-up of LPR. Method A total of 35 individuals with atypical symptoms of gastroesophageal reflux disease and with an objective diagnosis of LPR, confirmed by high digestive endoscopy and 24-hour esophageal pH-metry dual probe test were submitted to the RSI and ERFS questionnaires, used in the pre- and post-treatment of 90 days with a Proton Pump Inhibitor. Result The evaluation of RSI and ERFS in the pre- and post-treatment showed a reduction in the results of the two scores, with a higher drop in the RSI (p < 0.001) than in the ERFS (p = 0.014). Although there was an improvement in the values in 23.9% of the individuals in the ERFS, there was no change in the category (p = 0.057), different from the RSI (p < 0.001), where there was a 67.4% improvement in values, as well as change in category (score went from positive to negative). There was a correlation between RSI and ERFS, moderate in the pretreatment and strong in the post-treatment. Conclusion The RSI and ERFS scores, when translated and adapted for Brazilian Portuguese and applied simultaneously, can be considered a good tool for post-treatment LPR follow-up.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Reflux Symptom Index and the Endolaryngeal Findings Scale after Treatment in Individuals with Laryngopharyngeal Reflux

Silva

Duprat

Machado

et al. 2020

Int Arch Otorhinolaryngol

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“…A 3-sensor pH study also showed that nasopharyngeal reflux events were more prevalent in patients with severe LTH than in those with mild or moderate LTH. 18 To our knowledge, the first article that analyzed the relationship of LTH with OSA in a large population of adult patients was recently published. 7 Lingual tonsil hypertrophy was not found in adults without laryngopharyngeal reflux or OSA, and LTH was larger in patients with laryngopharyngeal reflux and/or OSA than in those without either disease.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Hypertrophy of the Lingual Tonsils in Adults With Sleep-Disordered Breathing<alt-title>Factors Associated With Lingual Tonsil Hypertrophy</alt-title>

Sung

Lee

Wee

et al. 2013

JAMA Otolaryngol Head Neck Surg

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“…Another relevant aspect is the high percentage of patients presenting with GERD, that seems to be directly involved in the genesis of this pathology, as reported in the literature by DelGaudio et al . . Moreover, in this subgroup of patients once lingual lymphatic tissue has been removed, the symptoms reduced even if the GERD is not correctly treated as no lymphatic hyperplasia will no longer relapse.…”

Section: Discussionmentioning

confidence: 93%

Trans‐oral robotic surgery (TORS) for the treatment of lingual tonsillitis. When conventional therapies fail

Montevecchi

Cammaroto

Meccariello

et al. 2016

Robotics Computer Surgery

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Proximal pharyngeal reflux correlates with increasing severity of lingual tonsil hypertrophy

Abstract: Our study shows a continuum of increasing pharyngeal reflux with higher LTH severity. Severe LTH may be a reliable physical sign of pharyngeal reflux, especially NPR.

Cited by 29 publications

References 25 publications

Evaluation of the Reflux Symptom Index and the Endolaryngeal Findings Scale after Treatment in Individuals with Laryngopharyngeal Reflux

Evaluation of the Reflux Symptom Index and the Endolaryngeal Findings Scale after Treatment in Individuals with Laryngopharyngeal Reflux

Factors Associated With Hypertrophy of the Lingual Tonsils in Adults With Sleep-Disordered Breathing<alt-title>Factors Associated With Lingual Tonsil Hypertrophy</alt-title>

Trans‐oral robotic surgery (TORS) for the treatment of lingual tonsillitis. When conventional therapies fail

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