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[Subglottic stenosis and gastroesophageal reflux]
I Fligny1, M François, Y Aigrain
1Service ORL du Pr. Narcy, Hôpital Robert-Debré, Faculté Xavier-Bichat, Paris.
Summary
Gastro-oesophageal reflux significantly contributes to pediatric laryngeal stenosis. Treating this reflux, often surgically, successfully cured ten children when medical treatments failed, highlighting its pathogenic role.
Area of Science:
- Pediatric Otolaryngology
- Gastroenterology
Background:
- Sub-glottic laryngeal stenosis in children often presents a treatment challenge.
- Medical management of laryngeal stenosis had been ineffective in the reported cases.
Observation:
- Ten pediatric cases of sub-glottic laryngeal stenosis were treated.
- All ten children had co-existing gastro-oesophageal reflux.
- Previous medical treatments for laryngeal stenosis had failed.
Findings:
- Surgical treatment targeting gastro-oesophageal reflux led to the cure of all ten children.
- Literature review confirms the significant role of gastro-oesophageal reflux in laryngeal pathology.
Implications:
- Systematic investigation for gastro-oesophageal reflux is recommended in pediatric laryngeal stenosis cases, particularly with inflammation.
- An interventionist approach to gastro-oesophageal reflux is suggested due to its potential pathogenic role in laryngeal stenosis.