Hoarseness and gastroesophageal reflux in children

The Journal of Laryngology and Otology
L GumpertP Contencin

Abstract

The importance of a hoarse voice or voice change in children has not been stressed in the literature in the same way as it has been in adults. We present 21 children who had been suffering from chronic hoarseness for more than three months and had on fibre-optic laryngoscopy findings suggestive of gastroesophageal reflux. None of them had complained of gastroesophageal symptoms. Twenty-four hour pH monitoring revealed that 13 (62 per cent) of these children had gastroesophageal reflux, seven (33 per cent) having gastroesophageal reflux more than three times the upper limit of normal. The pH graphs highlighted frequent refluxes, ranging from 0.4 to 37.4 refluxes per hour (median of 7.3 refluxes/hour). The majority of these refluxes occurred when the child was awake as opposed to asleep, with a median of 14.8 refluxes/hour and 0.9 refluxes/hour respectively (p = 0.0009). The refluxes were classically of short duration. This study suggests that gastroesophageal reflux plays a direct role in the pathogenesis of chronic laryngitis and hoarseness in children.

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Citations

Feb 17, 2009·The Journal of Laryngology and Otology·A ConnellyH Kubba
Apr 29, 1998·Journal of Women's Health
Aug 3, 2013·Pediatric Clinics of North America·Naren N VenkatesanMichael Underbrink
May 31, 2011·Otolaryngologic Clinics of North America·Robert J Stachler, Samer Al-khudari
Jul 24, 2007·International Journal of Pediatric Otorhinolaryngology·Bradley B Block, Linda Brodsky
Aug 19, 2015·International Journal of Pediatric Otorhinolaryngology·Francesca GalluzziWerner Garavello
Dec 20, 2005·International Journal of Pediatric Otorhinolaryngology·Pelagia Stavroulaki
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Apr 1, 2001·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·T Ramadass, N Narayanan

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