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Updated: Jul 15, 2026
06:46
Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
Laryngopharyngeal reflux and chronic sinusitis.
1Scott and White Clinic, 1600 University Drive East, College Station, TX 77845, USA. dweldon@swmail.sw.org
Current Allergy and Asthma Reports
|April 24, 2007
Summary
Laryngopharyngeal reflux disease, often unrecognized, significantly contributes to chronic sinusitis. Diagnosis requires specialized tools, and while medical treatments help, some patients need surgery for symptom relief.
Area of Science:
- Otolaryngology
- Gastroenterology
Background:
- Chronic and recurrent sinusitis may be linked to laryngopharyngeal reflux disease (LPRD).
- LPRD involves reflux into the hypopharynx and above, often occurring when upright, differing from gastroesophageal reflux disease (GERD).
- Many patients are unaware of LPRD symptoms.
Purpose of the Study:
- To investigate the role of laryngopharyngeal reflux disease in chronic and recurrent sinusitis.
- To highlight diagnostic challenges and therapeutic options for LPRD.
Main Methods:
- Utilized diagnostic tools including pH probe, multichannel intraluminal impedance, and manometry.
- Assessed therapeutic outcomes of lifestyle modification, acid-suppressive agents, and surgical interventions.
Main Results:
- Laryngopharyngeal reflux disease is identified as a significant factor in chronic sinusitis.
- Specialized diagnostic tools are necessary for accurate LPRD diagnosis.
- While medical management improves reflux for many, persistent symptoms may necessitate endoscopic or surgical treatment.
Conclusions:
- Laryngopharyngeal reflux disease plays a crucial role in chronic sinusitis and requires specific diagnostic approaches.
- A combination of medical and, in some cases, surgical interventions is effective for managing LPRD.
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