Relation between globus pharyngeus and OSA in patients examined simultaneously by PSG and pH monitor: A cross sectional study
| Autor: | Meiho Nakayama, Shintaro Sato, Shingo Murakami, Naoko Sakamoto, Ayako Fukui, Motohiko Suzuki, Sachie Arima |
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| Rok vydání: | 2018 |
| Předmět: |
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 |
| Zdroj: | Auris Nasus Larynx. 45:1033-1040 |
| ISSN: | 0385-8146 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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