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Relation between globus pharyngeus and OSA in patients examined simultaneously by PSG and pH monitor: A cross sectional study
- Source :
- Auris Nasus Larynx. 45:1033-1040
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Objective This was a first cross-sectional single-center study to research the relation between globus pharyngeus, OSA and GERD. Since previous clinical studies have demonstrated a relationship between globus phayrngeus and GERD, however, no reported study on the relation between globus pharyngeus, sleep disorders including OSA, and GERD. Methods Seventeen patients underwent general and otorhinolaryngological examinations and responded to several questionnaires (ESS, PSQI, HADS, and Globus pharyngeus VAS score) at their first visit, and underwent a gastroesophageal test for 24-h pH monitoring and in-laboratory PSG one to two months later. Results No significant differences were seen in ESS, PSQI, or HADS scores between the groups. The acid exposure time was not significantly different among the groups. The percentage of esophageal reflux time was higher than the percentage of laryngopharyngeal reflux time through the total time as well as the supine period. This indicated that GERD occurred more frequently than laryngopharyngeal reflux. The entire results showed concurrent OSA in 10 cases (59%) and concurrent GERD in 7 cases (41%). The cases with OSA were treated by CPAP or oral appliance, and those treatments were effective for globus pharyngeus. Conclusion Although the relation between OSA and globus phayngeus is still controversial, these findings suggest that OSA may be a previously undetected cause of globus pharyngeus. By improving OSA, it may offer an additional option of treatment for those globus pharyngeus cases combined with OSA.
- Subjects :
- Adult
Male
medicine.medical_specialty
Esophageal pH Monitoring
Supine position
Cross-sectional study
Polysomnography
Oral appliance
Ph monitoring
03 medical and health sciences
Laryngopharyngeal reflux
0302 clinical medicine
Surveys and Questionnaires
Internal medicine
Laryngopharyngeal Reflux
medicine
Humans
In patient
030223 otorhinolaryngology
Aged
Sleep Apnea, Obstructive
business.industry
Pharyngeal Diseases
General Medicine
Middle Aged
medicine.disease
digestive system diseases
respiratory tract diseases
nervous system diseases
Hypopharynx
stomatognathic diseases
Cross-Sectional Studies
Diagnostic Techniques, Digestive System
nervous system
Otorhinolaryngology
Case-Control Studies
Gastroesophageal Reflux
GERD
Female
Surgery
Esophageal reflux
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 03858146
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Auris Nasus Larynx
- Accession number :
- edsair.doi.dedup.....b42778368eab8de7615d67032f66be25