Update on gastroesophageal reflux disease in pediatric airway disorders

Yellon, Robert F.; Goldberg, H. R.

doi:10.1016/s0002-9343(01)00861-0

Cited by 74 publications

(54 citation statements)

References 39 publications

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“…Bibi 18 and Yellon 19 found this association in 70% and 75% of the cases, respectively. Koufman 13 demonstrated in a study conducted with twoelectrode ph-meter test an incidence of 100% of reflux in the studied cases.…”

Section: Discussionmentioning

confidence: 84%

O tratamento da laringomalácia: experiência em 22 casos

Avelino

Liriano

Fujita

et al. 2005

Rev. Bras. Otorrinolaringol.

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Laryngomal acia is the most frequent cause of stridor in childhood, and in most of the cases, spontaneous resolution occurs by the age of 2 years. Approximately 10% of the cases (severe laryngomalacia) require surgery. This condition is of unknown etiology and its diagnosis is made by fiberoptic laryngoscopy, which shows shortening of the aryepiglottic folds, and/or redundant arytenoid mucosa, and/or anterior-posterior epiglottic prolapse. Aim: Our objective was to verify the main clinical and anatomical affections and to highlight the clinical parameters for clinical follow-up and surgical indication in patients with laryngomalacia. Study design: Transversal cohort study. Material and Method: Twenty-two children diagnosed with laryngomalacia in the Pediatric Otorhinolaryngology of UNIFESP-EPM, from January 2001 to December 2003, whose clinical and surgical follow-up were performed by the same examiner, were enrolled in this study. Results: Out of twenty-two evaluated children, 2 (9.1%) presented with severe laryngomalacia and pectus excavatum (funnel chest). At polysomnography, no child presented any significant respiratory event during sleeping. Those two children with severe laryngomalacia were submitted to supraglottoplasty with resection of the aryepiglottic folds. Conclusion: We concluded that stridor and shortening of the aryepiglottic folds are preponderant in children with laryngomalacia. The polysomnographic exam did not prove to be a good parameter for clinical follow-up, neither for surgical indication. The most important parameters were pectus excavatum and failure to thrive. Supraglottoplasty is effective and has low morbidity rate.

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Section: Discussionmentioning

confidence: 84%

O tratamento da laringomalácia: experiência em 22 casos

Avelino

Liriano

Fujita

et al. 2005

Rev. Bras. Otorrinolaringol.

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“…Subtle differentiating characteristics of reflux-induced stridor (confusingly sometimes referred to as pseudolaryngomalacia) are reportedly a more variable temporal pattern and failure to improve with the prone position. Associated symptoms of frequent spitting up or the Sandifer syndrome (reflux associated back arching and/or torticollis) may also favor reflux-induced stridor over conventional laryngomalacia [26]; correlation of stridulous episodes with distinct reflux events identified during pH probe testing definitively confirms this diagnosis. Unfortunately, as inlaryngomalacia, we have a poor understanding of the mechanism that underlies reflux-induced stridor.…”

Section: Promentioning

confidence: 95%

Does Reflux Have a Causative Role in Laryngomalacia?

Manaligod¹

2013

Otolaryngology

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“…Koufman et al [2] noted that fewer than 20% of patients with EER (n = 59) suffered from esophagitis, diagnosed by esophagoscopy and histology. In contrast, Yelon and Goldberg [7] found esophageal abnormalities in 80% of patients with posterior laryngitis. By using a double-probe pH monitoring system, we found in our own patients that 1/3 of those with normal esophageal acid exposure times, i.e.…”

mentioning

confidence: 88%

Extraesophageal Reflux and Upper Aerodigestive Tract Diseases

Jecker¹,

Orloff

Mann³

2005

ORL

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Reflux disease can cause multiple disorders not only of the esophagus but also of the upper aerodigestive tract. In the last decade, an association between reflux disease and multiple head and neck diseases was described, including those of the larynx and pharynx as well as those of the nose, the sinuses and the middle ear. The present article summarizes these different diseases and possible pathomechanisms are explained. In particular, there is a need to differentiate between the classical gastroesophageal reflux disease (GERD) and the extraesophageal manifestation of the reflux disease, called extraesophageal reflux (EER). Both diseases are characterized by different symptoms and can cause different disorders. To differentiate between GERD and EER, double-probe pH monitoring is mandatory. At last, some aspects of reflux therapy are explained.

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Update on gastroesophageal reflux disease in pediatric airway disorders

Cited by 74 publications

References 39 publications

O tratamento da laringomalácia: experiência em 22 casos

O tratamento da laringomalácia: experiência em 22 casos

Does Reflux Have a Causative Role in Laryngomalacia?

Extraesophageal Reflux and Upper Aerodigestive Tract Diseases

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