Proximal pharyngeal reflux correlates with increasing severity of lingual tonsil hypertrophy
- 1 April 2008
- journal article
- research article
- Published by Wiley in Otolaryngology -- Head and Neck Surgery
- Vol. 138 (4), 473-478
- https://doi.org/10.1016/j.otohns.2007.12.023
Abstract
To determine if degree of lingual tonsil hypertrophy(LTH) correlates with pharyngeal reflux. Prospective. Patients with flexible laryngoscopic evidence of LTH were included. Degree of LTH was graded mild, moderate, or severe by two otolaryngologists blinded to pH study results. Threesensor pH study results were correlated to LTH grade. Nineteen patients were included (five with mild LTH, eight with moderate LTH, and six with severe LTH). Nasopharyngeal reflux (NPR) events <pH4 were found in four of six severe LTH patients but no mild or moderate LTH patients (P = 0.006). All severe LTH patients had NPR events <pH5, compared with only 4 of 11 mild or moderate LTH patients (P = 0.017). Atthe UES, 4 of 6 severe LTH patients had pathologic reflux, compared with 4 of 13 mild or moderate (P = 0.025). Interobserver reliability calculated by Cohen's kappa was excellent (0.92). 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. © 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.Keywords
This publication has 23 references indexed in Scilit:
- Direct Nasopharyngeal Reflux of Gastric Acid is a Contributing Factor in Refractory Chronic RhinosinusitisThe Laryngoscope, 2005
- The Reliability of the Assessment of Endoscopic Laryngeal Findings Associated With Laryngopharyngeal Reflux DiseaseThe Laryngoscope, 2002
- Association of Laryngopharyngeal Symptoms With Gastroesophageal Reflux DiseaseThe Laryngoscope, 2002
- The Validity and Reliability of the Reflux Finding Score (RFS)The Laryngoscope, 2001
- Can Symptoms Predict Esophageal Motor Function or Acid Exposure in Gastroesophageal Reflux Disease?Journal of Clinical Gastroenterology, 2001
- RESPIRATORY COMPLICATIONS OF GASTROESOPHAGEAL REFLUX DISEASEPrimary Care: Clinics in Office Practice, 1996
- Lingual Tonsil Hypertrophy Producing Obstructive Sleep ApneaThe Laryngoscope, 1996
- Obstructive Sleep ApneaNew England Journal of Medicine, 1996
- Lingual tonsillectomy: A treatment for inflammatory lesions of the lingual tonsilThe Laryngoscope, 1984
- LINGUAL TONSILLITISAnnals of the New York Academy of Sciences, 1959