ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Controversies and Concepts Surrounding Rhinogenic Laryngitis

by Matt Brown • January 1, 2007

  • Tweet
  • Email
Print-Friendly Version

TORONTO-The rapid rise in visits to otolaryngology practices due to acid reflux is something most otolaryngologists-head and neck surgeons can appreciate. Reflux is increasing the patient numbers, period.

You Might Also Like

No related posts.

Explore This Issue
January 2007

According to figures in the National Ambulatory Care Survey (NACS), outpatient visits to all specialties rose dramatically for the past several years with regard to gastroesophageal reflux disease (GERD), plateauing at 13 million visits for all physician groups, said Kenneth W. Altman, MD, PhD, of Mount Sinai Hospital in New York.

If you look at the over-45-year-old age group, [reflux] accounts for almost 10 percent of all outpatient medical visits, he said. That is a pretty significant number in terms of all outpatient care.

During the recent American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) annual meeting here, a group moderated by Dr. Altman provided a state-of-the-art review of the significant overlap between the clinical manifestations of laryngeal and rhinologic disease.

Dr. Altman said that a closer look at the NACS data showed a spike in asymptomatic laryngopharyngeal reflux (LPR) patients, specifically those having a significant number of refluxing episodes without any symptoms.

Take a look in the larynx of any patient that comes to see you with cerumen impaction with no reflux history or reflux symptoms and you’ll find that the sensitive findings of LPR are not specific to reflux, he said. In other words, you’ll find abnormal findings in people that are entirely asymptomatic.

Then we can add to that the significant amount of asymptomatic sinonasal disease…of which the drainage is often so intermittent we may not even see it on our exams. And we all know about the complexities of the reactive airway syndrome, bridging allergic rhinitis, sinusitis, reactive airway disease, and bronchitis.

Dr. Altman then posed questions concerning the impact of rhinological disease on the larynx, determining what is responsible for the symptom of postnasal drip, the impact of extraesophageal reflux on rhinitis and sinusitis, the role of the autonomic nervous system in specific clinical cases, and the ideal management approach to patients with these disorders.

Careful Diagnosis Necessary

Michael S. Benninger, MD, of the Henry Ford Health System in Detroit, was the first to discuss his research, detailing his findings regarding the frequency of laryngeal disease-not simply reflux-being mistaken for a nasal or sinus disorder.

Often, laryngopharyngeal reflux is mistaken for sinus disease because of the sensation and mucus…and you have to convince patients that that is the case, Dr. Benninger said. Although the larynx may be the source of the major symptoms, there is greater proof that reflux can exacerbate chronic conditions such as chronic rhinositis, allergic rhinitis, and in children otitis media. Currently now in my recalcitrant chronic rhinosinusitis patients I put them empirically on reflux treatment and I have had anecdotal cases where people have improved, despite being on nasal steroids and leukotriene modifiers and allergy medications.

Pages: 1 2 3 | Single Page

Filed Under: Articles, Clinical, News Issue: January 2007

You Might Also Like:

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Complications for When Physicians Change a Maiden Name
    • Vertigo in the Elderly: What Does It Mean?
    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?
    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • What Happens to Medical Students Who Don’t Match?
    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?
    • Vertigo in the Elderly: What Does It Mean?
    • Neurogenic Cough Is Often a Diagnosis of Exclusion
    • Novel Bioabsorbable Plate Associated with Lower Leak Risk in Patients Receiving Endoscopic Skull Base Repair
    • New Findings Support Use of Cemiplimab as Neoadjuvant Therapy in Patients with Resectable Cutaneous Squamous Cell Carcinoma
    • Kinetic Oscillation Stimulation an Effective, Lasting Second-Line Treatment for Patients with Nonallergic Rhinitis
    • Otolaryngologists Vary Significantly in Choice of Injectable Materials for Vocal Fold Injection Augmentation
    • COVID-19 Infection May Be Associated with Unique Manifestation of Facial Nerve Paralysis/Palsy

Polls

Do you believe that having more otolaryngologists appear on mainstream media outlets is a good thing for the field?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2023 The Triological Society. All Rights Reserved.
ISSN 1559-4939