Format

Send to

Choose Destination
Am J Otolaryngol. 2017 Sep - Oct;38(5):603-607. doi: 10.1016/j.amjoto.2017.06.012. Epub 2017 Jun 27.

Treatment of laryngopharyngeal reflux using a sleep positioning device: A prospective cohort study.

Author information

1
Cleveland Clinic Head and Neck Institute, 9500 Euclid Ave/A71, Cleveland, OH 44195, United States. Electronic address: tiernew@ccf.org.
2
Cleveland Clinic Digestive Disease Institute, 9500 Euclid Ave/A31, Cleveland, OH 44106, United States.
3
Cleveland Clinic Head and Neck Institute, 9500 Euclid Ave/A71, Cleveland, OH 44195, United States.

Abstract

OBJECTIVE:

Laryngopharyngeal reflux (LPR) symptoms are often resistant to management and cause significant quality of life impairment to patients with this disease. This study assesses the utility of a sleep-positioning device (SPD) in treating LPR.

DESIGN:

Single center prospective cohort study.

SETTING:

Tertiary medical center PARTICIPANTS: 27 adult patients with diagnosed laryngopharyngeal reflux.

INTERVENTION:

An SPD consisting of a two-component wedge-shaped base pillow and a lateral positioning body pillow (Medcline, Amenity Health Inc.) was given to patients with a diagnosis of LPR. Subjects slept using the device for at least 6h per night for 28 consecutive nights.

MAIN OUTCOMES:

Primary outcomes were Nocturnal Gastroesophageal Reflux Symptom Severity and Impact Questionnaire (N-GSSIQ) and the Reflux Symptoms Index (RSI) survey instrument. Each was collected at baseline, after 14, and after 28days of SPD use.

RESULTS:

27 patients (19 female and 8 male; age 57.1±12.8, BMI 29.0±8.1) were recruited. At baseline mean N-GSSIQ was 50.1±22.4 and mean RSI of 29.6±7.7. Repeated measure analysis showed that subjects' total N-GSSIQ scores decreased by an average of 19.1 (p=0.0004) points by two weeks and 26.5 points by 4weeks (p<0.0001). RSI decreased an average of 5.3 points by 2weeks (p=0.0425) and an average of 14.0 points by 4weeks (p<0.0001).

CONCLUSIONS:

In patients with LPR, SPD treatment significantly improves self-reported symptoms of nocturnal reflux as well as symptoms specific to LPR. These results support the therapeutic efficacy of a SPD for patients with LPR.

KEYWORDS:

Cohort study; Gerd; Hoarseness; Laryngopharyngeal reflux; Lpr; Medcline; Pillow; Pilot; Reflux; Sleep positioning device; Wedge

PMID:
28688630
DOI:
10.1016/j.amjoto.2017.06.012
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center