Anales de Otorrinolaringología Mexicana

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>Journals >Anales de Otorrinolaringología Mexicana >Year 2018, Issue 4

Ochoa-Moreno AJ, De Alba-Márquez ME, Durán-López R
Laryngopharyngeal reflux in patients with Eustachian tube dysfunction
Otorrinolaringología 2018; 63 (4)

Language: Español
References: 13
Page: 159-164
PDF: 258.06 Kb.

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Background: Laryngopharyngeal reflux is associated with Eustachian tube dysfunction| (ETD), nowadays, there are few studies about this topic, so, it is required to study the relationship between both diseases.
Objective: To analyze the relationship of laryngopharyngeal reflux with the diagnosis of Eustachian tube dysfunction.
Material and Method: A study of cases and controls was done from July to December 2015, including patients with ETD and subjects without the disease, matched by age and gender. A tubal function test was performed to verify the presence or absence of ETD. All patients were subjected to the Reflux Symptom Index and the Reflux Finding Score.
Results:There were included 31 patients and 31 control subjects. The score was higher in patients with ETD in the Reflux Symptom Index (13.51 vs 9.80 points, p = 0.15) and in the Reflux Finding Score (6.48 vs 4.61 points, p = 0.07). There was a greater presence of LPR in patients with ETD compared with patients without ETD (OR = 4.28, 95% IC: 1.30-14.07, p = 0.01).
Conclusions: The presence of LPR in patients with ETD was significantly higher than in healthy patients, with four times more likely of suffering ETD associated to LPR.

Key words: Laryngopharyngeal reflux, Eustachian tube dysfunction.


  1. Ford CN. Evaluation and management of laryngopharyngeal reflux. JAMA 2005 Sep 28;294(12):1534-40.

  2. Dennis P, Bassem MN, Hanna. Eustachian tube dysfunction. UpToDate, 25 Jun 2018.

  3. Koufman JA, Aviv JE, Casiano RR, Shaw GY. Laryngopharyngeal reflux; position statement of committee on speech, voice, and swallowing disorders of the American Academy of Otolaryngology- Head Neck Surgeryrs. Otolaryngol Head Neck Surg 2002 Jul;127(1):32-5.

  4. Sirinskiene N. Quality of life in laryngopharyngeal reflux patients. Laryngoscope 2007;117:480-482.

  5. Swarts JD, Alper CM, Luntz M, et al. Panel 2: Eustachian tube, middle ear, and mastoid-anatomy, physiology, patholphysiology and pathogenesis. Am Acad Otolaryngol Head Neck Surg 2013 Apr;148(4 Suppl):E:26-36.

  6. Asociación Española de Audiología. Normalización de las pruebas audiológicas (III): La impedanciometría, Revista Electrónica de Audiología 2004;2:51-55.

  7. Williams PS. A tympanometric pressure swallow test for assessment of Eustachian tube function. Annals Oto Rhinol Laryngol 1975 May-Jun;84(3Pt 1):339-43.

  8. Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index. J Voice 2002 Jun;16(2):274-277.

  9. Moreno RAS. Validación inicial del Índice de Síntomas de Reflujo para su uso clínico. An Orl Mex 2009;54(3):96-101.

  10. Belafsky PC, Postma GN, Koufman. Validity and reliability of the reflux finding score. Laryngoscope 2001;111:1313-1317.

  11. Torres TC, Porras ZD, De alba MM, Durán LR, Paz FG. Asociación entre el pH de la mucosa del rodete tubárico y la presencia de reflujo faringolaríngeo. Acta de Otorrinolaringol Cirugía de Cabeza y Cuello 2015;43(2):131-134.

  12. Brunworth JD, Mahboubi H, Garg R, Johnson B, Brandon B, Djalilian HR. Nasopharyngeal acid reflux and Eustachian tube dysfunction in adults. Ann Otol Rhinol Laryngol 2014 Jun;123(6):415-419.

  13. Michihiko S, Naomi K, Toshinari K, et al. Prevalence of laryngopharyngeal reflux symptoms: Comparison between health checkup examinees and patients with otitis media. Otolaryngol Head Neck Surg 2012 Jan;146(4):562-566.

>Journals >Anales de Otorrinolaringología Mexicana >Year 2018, Issue 4

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