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Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
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[Severe laryngitis associated to gastroesophageal reflux]
Hugo Botto1, Cintia Antonioli1, Mary Nieto1
1Servicio de Endoscopia Respiratoria, Hospital de Pediatría Prof. Dr. Juan P. Garrahan.
Archivos Argentinos De Pediatria
|February 26, 2014
Summary
Gastroesophageal reflux and pharyngolaryngeal reflux are linked to respiratory issues like coughing and wheezing. Severe cases of laryngitis, a reflux symptom, can necessitate emergency airway interventions.
Area of Science:
- Otolaryngology
- Pulmonology
- Gastroenterology
Background:
- Gastroesophageal reflux (GER) and pharyngolaryngeal reflux (PLR) are implicated in various respiratory conditions.
- Manifestations range from mild symptoms like dysphonia and coughing to severe events such as laryngospasm and apparent life-threatening events (ALTEs).
Observation:
- This study details two cases of patients presenting with severe laryngitis.
- Both patients required endotracheal intubation for airway management.
- One patient additionally underwent a tracheostomy due to the severity of the condition.
Findings:
- The cases highlight the critical association between reflux disorders and severe upper airway compromise.
- Diagnostic challenges and limitations in identifying reflux as the primary cause of severe laryngitis are discussed.
- Successful management strategies and patient outcomes are presented.
Implications:
- Recognizing reflux as a potential cause of severe respiratory distress is crucial for timely diagnosis and intervention.
- Understanding the limitations of diagnostic tools can guide clinical decision-making.
- Early identification and management of reflux-related airway issues may prevent life-threatening events.
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