Document Detail


Proximal pharyngeal reflux correlates with increasing severity of lingual tonsil hypertrophy.
MedLine Citation:
PMID:  18359357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine if degree of lingual tonsil hypertrophy (LTH) correlates with pharyngeal reflux. DESIGN: Prospective. METHODS: Patients with flexible laryngoscopic evidence of LTH were included. Degree of LTH was graded mild, moderate, or severe by two otolaryngologists blinded to pH study results. Three-sensor pH study results were correlated to LTH grade. RESULTS: Nineteen patients were included (five with mild LTH, eight with moderate LTH, and six with severe LTH). Nasopharyngeal reflux (NPR) events <pH4 were found in four of six severe LTH patients but no mild or moderate LTH patients (P = 0.006). All severe LTH patients had NPR events <pH5, compared with only 4 of 11 mild or moderate LTH patients (P = 0.017). At the UES, 4 of 6 severe LTH patients had pathologic reflux, compared with 4 of 13 mild or moderate (P = 0.025). Interobserver reliability calculated by Cohen's kappa was excellent (0.92). CONCLUSIONS: Our study shows a continuum of increasing pharyngeal reflux with higher LTH severity. Severe LTH may be a reliable physical sign of pharyngeal reflux, especially NPR.
Authors:
John M DelGaudio; Iman Naseri; Justin C Wise
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  138     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-24     Completed Date:  2008-05-27     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  473-8     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Emory University, Atlanta, GA 30322, USA. jdelgaudio@emroyhealthcare.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Female
Humans
Hypertrophy
Male
Middle Aged
Palatine Tonsil / pathology*
Pharyngeal Diseases / pathology*
Prospective Studies
Severity of Illness Index
Tongue

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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