| Proximal pharyngeal reflux correlates with increasing severity of lingual tonsil hypertrophy. | |
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MedLine Citation:
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PMID: 18359357 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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John M DelGaudio; Iman Naseri; Justin C Wise |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2008-03-24 Completed Date: 2008-05-27 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 473-8 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Emory University, Atlanta, GA 30322, USA. jdelgaudio@emroyhealthcare.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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