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Acta Otolaryngol ; 130(9): 1053-7, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20608771

ABSTRACT

CONCLUSION: Gastroesophageal and laryngopharyngeal reflux were found to have no effect on nasal mucociliary transport. OBJECTIVE: Gastroesophageal and laryngopharyngeal reflux have been recognized as causative factors for chronic rhinosinusitis but no definite mechanism has been described yet. We aimed to determine whether gastroesophageal and laryngopharyngeal reflux impair nasal mucociliary transport. METHODS: This was a prospective cohort study in a tertiary referral center. Fifty patients with both laryngopharyngeal and gastroesophageal reflux comprised the study group. Reflux syndrome index and reflux finding score were calculated for each patient before and after treatment. Antireflux medication was given for 12 weeks. The control group consisted of 30 healthy volunteers. Nasal mucociliary transport was assessed by means of the saccharine test. It was performed before and after the treatment. Statistical analysis was performed using the saccharine test results of the study and control groups. RESULTS: No statistical difference was found between the saccharine test results of the study group and control group before treatment. The differences between the pretreatment and post-treatment reflux symptom index and reflux finding scores were statistically significant. The difference between the post-treatment saccharine test results of the patients in whom reflux scores returned to normal and those with remaining high scores was not statistically significant.


Subject(s)
Laryngopharyngeal Reflux/physiopathology , Mucociliary Clearance , Nasal Mucosa/physiopathology , Adult , Aged , Case-Control Studies , Female , Humans , Male , Middle Aged , Prospective Studies , Young Adult
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