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Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
06:46

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring

Published on: December 14, 2020

Frequency of pharyngeal reflux in children with adenoid hyperplasia

Bahar Keles1, Kayhan Ozturk, Hamdi Arbag

  • 1Department of Otolaryngology, Meram Medical Faculty, Selcuk University, 42090 Meram, Konya, Turkey. baharkeles@hotmail.com

International Journal of Pediatric Otorhinolaryngology
|July 12, 2005
PubMed

Insights

Children with adenoid hyperplasia show a higher frequency of pharyngeal reflux. This suggests that pharyngeal reflux may contribute to the development of adenoid hyperplasia in pediatric patients.

Area of Science:

  • Pediatric Otolaryngology
  • Gastroenterology
  • Respiratory Medicine

Background:

  • Adenoid hyperplasia is a common condition in children, often associated with upper airway obstruction.
  • Pharyngeal reflux, a form of gastroesophageal reflux (GER), involves the backflow of stomach contents into the pharynx.
  • The potential link between pharyngeal reflux and adenoid hyperplasia requires further investigation.

Purpose of the Study:

  • To determine if there is an association between pharyngeal reflux and adenoid hyperplasia in children.
  • To utilize 24-hour dual-probe esophageal pH monitoring to assess reflux patterns.
  • To compare reflux parameters in children with and without adenoid hyperplasia.

Main Methods:

  • Prospective study involving 30 children with adenoid hyperplasia and 12 healthy controls.
  • All participants underwent 24-hour dual-probe esophageal pH monitoring (distal and proximal).
  • Data analysis performed using Measurement and Analysis Software of Medical Measurement System (Version: 7.2a).

Main Results:

  • The frequency of pharyngeal reflux was significantly higher in the adenoid hyperplasia group (46.7%) compared to controls (8.3%).
  • Gastroesophageal reflux (GER) was also more frequent in the study group (64.5%) than in controls (25%).
  • No significant correlation was found between pharyngeal reflux, GER, and the mean adenoid nasopharyngeal ratio (ANR).

Conclusions:

  • Children with adenoid hyperplasia exhibit a greater incidence of pharyngeal reflux compared to healthy children.
  • These findings suggest that pharyngeal reflux may be a significant factor in the etiology of adenoid hyperplasia.
  • Further research is warranted to elucidate the precise mechanisms linking pharyngeal reflux and adenoid hypertrophy.
Abstract

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