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Otolaryngology, ENT & Sinus News Provided by Dallas ENTGastroesophageal reflux and chronic rhinosinusitisDecember 25, 2011, 5:00 am by Current Opinion in Otolaryngology & Head and Neck SurgeryPurpose of review: Chronic rhinosinusitis (CRS) and gastroesophageal reflux disease (GERD) are two common conditions which have been reported to occur together more frequently than expected. It has, therefore, been proposed that GERD may have an aetiologic role in CRS. This study reviews the results of research into the possible reflux and reflex mechanisms that may link CRS and GERD. Recent findings: Robust assessment of gastric reflux into the nasopharynx using circumferential pH probes which are less subject to artefact have demonstrated that direct reflux into the nasopharynx is a rare event. Pepsinogen has only been found in the nasal cavity in one study which had unexpected results, raising doubts about the validity of the methodology. A reflex increase in nasal congestion and mucus secretion has been demonstrated experimentally, but in a small number of patients, which precluded statistical significance. The relationship between reflux and mucus secretion is supported, though, by randomized controlled trials showing decreased postnasal drip with proton-pump inhibitor therapy. Summary: Recent evidence suggests that GERD does not play a causative role in CRS. However, there is evidence of an oesophageal-nasal reflex, particularly in regard to mucus secretion and symptoms of postnasal drip. The presence of GERD would, therefore, be expected to worsen nasal symptom scores. (C) 2011 Lippincott Williams & Wilkins, Inc.
More from Current Opinion in Otolaryngology & Head and Neck Surgery Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am No abstract available Practical clinical management strategies for the allergic patient with chronic rhinosinusitis Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am Purpose of review: Allergic rhinitis often coexists with chronic rhinosinusitis (CRS). The purpose of this review is to provide a practical algorithm for the treatment of patients with allergic rhinitis and CRS. Recent Surgical options for the allergic rhinitis patient Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am Purpose of review: Allergic rhinitis is a very common disorder that affects millions of patients annually and the hallmark complaint of nasal obstruction significantly impacts the quality of life. Many surgical options Beyond voice: perceptions of gender in male-to-female transsexuals Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am Purpose of review: This review covers recent research findings that demonstrate the effectiveness of speech pathology intervention in enabling male-to-female transsexual individuals to portray their gender identity through speech. Research reports that Speech therapy and rehabilitation Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am No abstract available
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