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Pharyngonasal reflux: spectrum and significance in early childhood

A E Oestreich, J S Dunbar

    AJR. American Journal of Roentgenology
    |May 1, 1984
    PubMed

    Insights

    Pharyngonasal reflux, a condition seen in infants, is most common in the first three months of life. While it can be associated with apnea and other issues, symptoms typically resolve, especially in very young infants.

    Area of Science:

    • Pediatric radiology
    • Gastroenterology
    • Neonatology

    Background:

    • Pharyngonasal reflux is a condition where substances move from the pharynx to the nasal cavity.
    • It is observed during diagnostic imaging procedures like barium swallows.

    Purpose of the Study:

    • To review the radiographic and clinical findings of pharyngonasal reflux in pediatric patients.
    • To understand the frequency, associated conditions, and clinical significance of pharyngonasal reflux in infants and children.

    Main Methods:

    • Retrospective review of radiographic and clinical data.
    • Analysis of 57 infants and children who underwent barium swallow examinations showing pharyngonasal reflux.

    Main Results:

    • Pharyngonasal reflux was most frequent in infants under 3 months old.
    • The condition can occur in children experiencing apneic episodes.
    • Clinical symptoms generally resolved, even with severe reflux, particularly in very young infants.

    Conclusions:

    • Pharyngonasal reflux is common in early infancy and often transient.
    • While associated with prematurity, neuromuscular disorders, and velopharyngeal issues, it usually has no long-term consequence in neonates.

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