Predictive value of laryngeal pseudosulcus for gastroesophageal reflux in pediatric patients
To determine if the presence of laryngeal pseudosulcus is a good predictor of reflux in children. A retrospective review of clinical photographs of 66 children undergoing direct laryngoscopy for airway symptoms for the presence of laryngeal pseudosulcus. Its presence was correlated with positive ref...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2005-08, Vol.69 (8), p.1109-1112 |
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| container_title | International journal of pediatric otorhinolaryngology |
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| creator | Carr, Michele M. Abu-Shamma, Usamah Brodsky, Linda S. |
| description | To determine if the presence of laryngeal pseudosulcus is a good predictor of reflux in children.
A retrospective review of clinical photographs of 66 children undergoing direct laryngoscopy for airway symptoms for the presence of laryngeal pseudosulcus. Its presence was correlated with positive reflux tests: 24
h pH monitoring, gastric scintiscan, barium swallow, and esophageal biopsy.
Fifty-six patients had a positive reflux test, and 89% of these had pseudosulcus. Seventy percent of the reflux-negative group (
N
=
10) had no pseudosulcus. Sensitivity and specificity were 89% and 70%, respectively.
On its own the presence of pseudosulcus has marginal predictive use, but it is found more frequently among reflux-positive children and may be a useful marker to add to existing visual scoring systems. |
| doi_str_mv | 10.1016/j.ijporl.2005.02.022 |
| format | Article |
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A retrospective review of clinical photographs of 66 children undergoing direct laryngoscopy for airway symptoms for the presence of laryngeal pseudosulcus. Its presence was correlated with positive reflux tests: 24
h pH monitoring, gastric scintiscan, barium swallow, and esophageal biopsy.
Fifty-six patients had a positive reflux test, and 89% of these had pseudosulcus. Seventy percent of the reflux-negative group (
N
=
10) had no pseudosulcus. Sensitivity and specificity were 89% and 70%, respectively.
On its own the presence of pseudosulcus has marginal predictive use, but it is found more frequently among reflux-positive children and may be a useful marker to add to existing visual scoring systems.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2005.02.022</identifier><identifier>PMID: 15878205</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Bronchoscopy ; Child ; Child, Preschool ; Extra-esophageal reflux ; Female ; Gastric Acidity Determination ; Gastroesophageal Reflux - complications ; Gastroesophageal Reflux - diagnosis ; Humans ; Infant ; Laryngeal Edema - diagnosis ; Laryngeal Edema - etiology ; Laryngopharyngeal reflux ; Laryngoscopy ; Larynx ; Male ; Pediatric airway ; Pediatric gastroesophageal reflux ; Predictive Value of Tests ; Retrospective Studies ; Sensitivity and Specificity</subject><ispartof>International journal of pediatric otorhinolaryngology, 2005-08, Vol.69 (8), p.1109-1112</ispartof><rights>2005 Elsevier Ireland Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-e109823f09e7aa14b44a1c8f2571895461caeb9c9f9cf56f88c7cf8d1f9003663</citedby><cites>FETCH-LOGICAL-c360t-e109823f09e7aa14b44a1c8f2571895461caeb9c9f9cf56f88c7cf8d1f9003663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijporl.2005.02.022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15878205$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carr, Michele M.</creatorcontrib><creatorcontrib>Abu-Shamma, Usamah</creatorcontrib><creatorcontrib>Brodsky, Linda S.</creatorcontrib><title>Predictive value of laryngeal pseudosulcus for gastroesophageal reflux in pediatric patients</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>To determine if the presence of laryngeal pseudosulcus is a good predictor of reflux in children.
A retrospective review of clinical photographs of 66 children undergoing direct laryngoscopy for airway symptoms for the presence of laryngeal pseudosulcus. Its presence was correlated with positive reflux tests: 24
h pH monitoring, gastric scintiscan, barium swallow, and esophageal biopsy.
Fifty-six patients had a positive reflux test, and 89% of these had pseudosulcus. Seventy percent of the reflux-negative group (
N
=
10) had no pseudosulcus. Sensitivity and specificity were 89% and 70%, respectively.
On its own the presence of pseudosulcus has marginal predictive use, but it is found more frequently among reflux-positive children and may be a useful marker to add to existing visual scoring systems.</description><subject>Adolescent</subject><subject>Bronchoscopy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Extra-esophageal reflux</subject><subject>Female</subject><subject>Gastric Acidity Determination</subject><subject>Gastroesophageal Reflux - complications</subject><subject>Gastroesophageal Reflux - diagnosis</subject><subject>Humans</subject><subject>Infant</subject><subject>Laryngeal Edema - diagnosis</subject><subject>Laryngeal Edema - etiology</subject><subject>Laryngopharyngeal reflux</subject><subject>Laryngoscopy</subject><subject>Larynx</subject><subject>Male</subject><subject>Pediatric airway</subject><subject>Pediatric gastroesophageal reflux</subject><subject>Predictive Value of Tests</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVoSFwn_6AUnXpbdyRLWu2lEEL6AYHmkNwCQtaOHBnZ2kq7Jvn3lWtDboUBwfDMO5qHkE8MFgyY-rpZhM2QclxwALkAXoufkRnTLW-0UOIDmVVMNlK36pJ8LGUDwFqQ8oJcstrUHOSMPD9k7IMbwx7p3sYJafI02vy2W6ONdCg49alM0U2F-pTp2pYxJyxpeLH_iIw-Tq807OhQg-yYg6ODHQPuxnJFzr2NBa9P75w8fb97vP3Z3P_-8ev25r5xSwVjgww6zZceOmytZWIlhGVOey5bpjspFHMWV53rfOe8VF5r1zqve-Y7gKVSyzn5cswdcvozYRnNNhSHMdodpqkYpYEJIdoKiiPociqlft0MOWzrtYaBOVg1G3O0ag5WDfBavI59PuVPqy3270MnjRX4dgSwXrkPmE1x1YCrRjK60fQp_H_DX4iDjJ8</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Carr, Michele M.</creator><creator>Abu-Shamma, Usamah</creator><creator>Brodsky, Linda S.</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20050801</creationdate><title>Predictive value of laryngeal pseudosulcus for gastroesophageal reflux in pediatric patients</title><author>Carr, Michele M. ; Abu-Shamma, Usamah ; Brodsky, Linda S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-e109823f09e7aa14b44a1c8f2571895461caeb9c9f9cf56f88c7cf8d1f9003663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Bronchoscopy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Extra-esophageal reflux</topic><topic>Female</topic><topic>Gastric Acidity Determination</topic><topic>Gastroesophageal Reflux - complications</topic><topic>Gastroesophageal Reflux - diagnosis</topic><topic>Humans</topic><topic>Infant</topic><topic>Laryngeal Edema - diagnosis</topic><topic>Laryngeal Edema - etiology</topic><topic>Laryngopharyngeal reflux</topic><topic>Laryngoscopy</topic><topic>Larynx</topic><topic>Male</topic><topic>Pediatric airway</topic><topic>Pediatric gastroesophageal reflux</topic><topic>Predictive Value of Tests</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carr, Michele M.</creatorcontrib><creatorcontrib>Abu-Shamma, Usamah</creatorcontrib><creatorcontrib>Brodsky, Linda S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carr, Michele M.</au><au>Abu-Shamma, Usamah</au><au>Brodsky, Linda S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive value of laryngeal pseudosulcus for gastroesophageal reflux in pediatric patients</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>69</volume><issue>8</issue><spage>1109</spage><epage>1112</epage><pages>1109-1112</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>To determine if the presence of laryngeal pseudosulcus is a good predictor of reflux in children.
A retrospective review of clinical photographs of 66 children undergoing direct laryngoscopy for airway symptoms for the presence of laryngeal pseudosulcus. Its presence was correlated with positive reflux tests: 24
h pH monitoring, gastric scintiscan, barium swallow, and esophageal biopsy.
Fifty-six patients had a positive reflux test, and 89% of these had pseudosulcus. Seventy percent of the reflux-negative group (
N
=
10) had no pseudosulcus. Sensitivity and specificity were 89% and 70%, respectively.
On its own the presence of pseudosulcus has marginal predictive use, but it is found more frequently among reflux-positive children and may be a useful marker to add to existing visual scoring systems.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>15878205</pmid><doi>10.1016/j.ijporl.2005.02.022</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0165-5876 |
| ispartof | International journal of pediatric otorhinolaryngology, 2005-08, Vol.69 (8), p.1109-1112 |
| issn | 0165-5876 1872-8464 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adolescent Bronchoscopy Child Child, Preschool Extra-esophageal reflux Female Gastric Acidity Determination Gastroesophageal Reflux - complications Gastroesophageal Reflux - diagnosis Humans Infant Laryngeal Edema - diagnosis Laryngeal Edema - etiology Laryngopharyngeal reflux Laryngoscopy Larynx Male Pediatric airway Pediatric gastroesophageal reflux Predictive Value of Tests Retrospective Studies Sensitivity and Specificity |
| title | Predictive value of laryngeal pseudosulcus for gastroesophageal reflux in pediatric patients |
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