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Int J Pediatr Otorhinolaryngol. 1998 Feb;43(1):11-20.

Gastroesophageal reflux association with laryngomalacia: a prospective study.

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  • 1Department of Otolaryngology, University of Florida, Gainsville 32610, USA.

Abstract

OBJECTIVE:

To identify the incidence and clinical role of gastroesophageal reflux (GER) in patients with laryngomalacia.

DESIGN:

Prospective evaluation of consecutive infants with a new diagnosis of laryngomalacia with an initial questionnaire, a barium esophagram or 24 h pH probe and record of their subsequent clinical course.

SETTING:

A large, tertiary pediatric referral center and its associated outpatient clinic.

PATIENTS:

New diagnosis of laryngomalacia in 33 consecutive infants were evaluated by questionnaire and 27 of these were evaluated for GER.

RESULTS:

GER was observed in 64% of patients and was significantly associated with severe symptoms and complicated clinical course (P = 0.0163). The presence of smokers in the infant's household negatively impacted his or her clinical course and symptomatology (P = 0.013) as did the presence of other major, concurrent medical problems (P = 0.065).

CONCLUSIONS:

In patients with laryngomalacia, GER was significantly associated with severe symptoms (a complicated clinical course), as was smoking in an infant's household and other significant medical problems.

PMID:
9596365
[PubMed - indexed for MEDLINE]
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