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Otolaryngologic manifestation of gastroesophageal reflux in children

Ahmed Y Al-Ammar1

  • 1Department of Otolaryngology, King Saud University, Riyadh 11565, Kingdom of Saudi Arabia. ahmedalammar@hotmail.com

Saudi Medical Journal
|February 19, 2003
PubMed

Insights

Gastroesophageal reflux (GER) can cause various ear, nose, and throat problems in children, including ear infections and breathing issues. A high suspicion is needed to diagnose GER as a cause of these otolaryngologic dysfunctions.

Area of Science:

  • Otolaryngology
  • Pediatrics
  • Gastroenterology

Background:

  • Gastroesophageal reflux (GER) is a common condition in infants and children.
  • Its association with otolaryngologic symptoms is increasingly recognized.
  • However, the specific manifestations and diagnostic challenges remain areas of interest.

Purpose of the Study:

  • To evaluate the role of gastroesophageal reflux (GER) in various otolaryngologic dysfunctions.
  • To identify common symptoms and associated conditions in children with GER-related otolaryngologic issues.

Main Methods:

  • A retrospective chart review was conducted over a one-year period (January 1995-January 1996).
  • Data from 37 pediatric patients were analyzed.
  • Variables included presenting symptoms, clinical signs, diagnosed dysfunction, investigations, treatment, and patient outcomes.

Main Results:

  • Apnea and regurgitation were frequent presenting symptoms in children with otolaryngologic manifestations of GER.
  • Gastroesophageal reflux was commonly associated with otitis media (ear infection), adenoid hypertrophy, bronchial asthma, and recurrent pneumonia.
  • These findings highlight the diverse impact of GER on the pediatric upper aerodigestive tract.

Conclusions:

  • Gastroesophageal reflux presents with complex and often subtle otolaryngologic manifestations.
  • Diagnosis can be challenging, necessitating a high index of suspicion.
  • Early recognition and diagnosis of GER are crucial for managing related pediatric otolaryngologic conditions.
Abstract

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