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ENT manifestations of gastro-oesophageal reflux in children

G Caruso1, F M Passali

  • 1Institute of Otorhinolaryngology, University of Siena, Siena, Italy.

Insights

Gastro-oesophageal reflux in children can cause significant ear, nose, and throat issues. Early diagnosis and treatment are crucial for managing these common pediatric conditions and their associated morbidities.

Area of Science:

  • Pediatric Otolaryngology
  • Gastroenterology

Background:

  • Gastro-oesophageal reflux (GOR) is prevalent in pediatric populations.
  • GOR is linked to considerable morbidity, necessitating early detection and intervention.
  • ENT conditions are significant extra-esophageal manifestations of GOR in children.

Purpose of the Study:

  • To highlight the ENT manifestations of gastro-oesophageal reflux in children.
  • To underscore the importance of recognizing GOR as a cause of pediatric ENT symptoms.
  • To inform medical and surgical treatment strategies for GOR-related ENT conditions.

Main Methods:

  • Review of existing literature on pediatric gastro-oesophageal reflux and its ENT sequelae.
  • Analysis of common ENT manifestations associated with GOR in children.
  • Identification of key laryngeal, auricular, nasal, sinus, and oral conditions linked to GOR.

Main Results:

  • Key ENT manifestations include laryngo-tracheal stenosis and laryngomalacia.
  • Otitis media with effusion and rhinosinusitis are frequently observed.
  • The larynx, ears, nose, paranasal sinuses, and oral cavity are primary sites affected by GOR.

Conclusions:

  • Gastro-oesophageal reflux presents with diverse ENT symptoms in children.
  • Recognizing these manifestations is vital for timely diagnosis and management.
  • Effective treatment of GOR can alleviate associated pediatric ENT morbidities.

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