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Gastroesophageal reflux disease and tympanoplasty surgical outcome: is there a relationship?

Published online by Cambridge University Press:  12 April 2012

T E Habesoglu ,
M Habesoglu ,
C Kalaycik ,
A Tek ,
M Surmeli  and
E Egeli
T E Habesoglu*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
M Habesoglu
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
C Kalaycik
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
A Tek
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
M Surmeli
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
E Egeli
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
*
Address for correspondence: Dr Tulay Erden Habesoglu, Department of Otolaryngology-Head and Neck Surgery, Haydarpaşa Numune Education and Research Hospital, No. 40, Tıbbıye Street, Postal code: 34668, ÜSKÜDAR/İSTANBUL/TÜRKİYE E-mail: [email protected]
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Abstract

Objective:

To investigate the possible clinical relationship between gastroesophageal reflux disease and the type one tympanoplasty surgical outcomes of adults with chronic otitis media, by using a simple, cost-effective, reliable questionnaire and physical findings.

Methods:

Fifty-two of 147 patients undergoing type one tympanoplasty were studied. Gastroesophageal reflux disease symptoms were evaluated using the Frequency Scale for the Symptoms of Gastroesophageal Reflux Disease questionnaire. Laryngoscopic physical findings of laryngopharyngeal reflux were evaluated using the Reflux Finding Score. A successful outcome was defined as an intact tympanic membrane. Correlations between the two assessment tool results and the patient's surgical success were calculated.

Results:

The gastroesophageal reflux disease questionnaire score was significantly higher in patients with unsuccessful tympanic membrane closure (group one) than in patients with successful closure (group two) (p < 0.05). The Reflux Finding Score was also significantly higher in group one than group two (p < 0.05). There was a significant positive relationship between the gastroesophageal reflux disease questionnaire score and the Reflux Finding Score (p < 0.01).

Conclusion:

Gastroesophageal reflux disease may be a significant prognostic factor for tympanoplasty failure. Therefore, reflux investigation may be important during the treatment of chronic otitis media, and positive cases may need reflux treatment as well as ear disease treatment.

Keywords

MyringoplastyGastroesophageal RefluxTreatment OutcomePrognosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 6 , June 2012 , pp. 580 - 585
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Albu, S, Babighian, G, Trabalzini, F. Prognostic factors in tympanoplasty. Am J Otol 1998;19:136–40Google ScholarPubMed
2Inwood, JL, Wallace, HC, Clarke, SE. Endaural or postaural incision for myringoplasty: does it make a difference to the patient? Clin Otolaryngol Allied Sci 2003;28:396–8CrossRefGoogle ScholarPubMed
3Lin, AC, Messner, AH. Pediatric tympanoplasty: factors affecting success. Curr Opin Otolaryngol Head Neck Surg 2008;16:64–8CrossRefGoogle ScholarPubMed
4Bhat, NA, De, R. Retrospective analysis of surgical outcome, symptom changes, and hearing improvement following myringoplasty. J Otolaryngol 2000;29:229–32Google ScholarPubMed
5Weaver, EM. Association between gastroesophageal reflux and sinusitis, otitis media, and laryngeal malignancy: a systematic review of the evidence. Am J Med 2003 Aug 18; 115(Suppl 3A):81S–89SCrossRefGoogle ScholarPubMed
6Gaynor, EB. Gastroesophageal reflux as an etiologic factor in laryngeal complications of intubation. Laryngoscope 1988;98:972–9CrossRefGoogle ScholarPubMed
7White, DR, Heavner, SB, Hardy, SM, Prazma, J. Gastroesophageal reflux and eustachian tube dysfunction in an animal model. Laryngoscope 2002;112:955–61CrossRefGoogle ScholarPubMed
8Yazici, ZM, Sari, M, Uneri, C, Midi, A, Tugtepe, H. Histologic changes in eustachian tube mucosa of rats after exposure to gastric reflux. Laryngoscope 2008;118:849–53CrossRefGoogle ScholarPubMed
9Poelmans, J, Tack, J, Feenstra, L. Chronic middle ear disease and gastroesophageal reflux disease: a causal relation? Otol Neurotol 2001;22:447–50CrossRefGoogle ScholarPubMed
10Kusano, M, Shimoyama, Y, Sugimoto, S, Kawamura, O, Maeda, M, Minashi, K et al. Development and evaluation of FSSG: frequency scale for the symptoms of gastroesophageal reflux disease. J Gastroenterol 2004;39:888–91CrossRefGoogle Scholar
11Kusano, M, Shimoyama, Y, Kawamura, O, Maeda, M, Kuribayashi, S, Nagoshi, A et al. Proton pump inhibitors improve acid-related dyspepsia in gastroesophageal reflux disease patients. Dig Dis Sci 2007;52:1673–7CrossRefGoogle ScholarPubMed
12Sugimoto, M, Nishino, M, Kodaira, C, Yamade, M, Uotani, T, Ikuma, M et al. Characteristics of non-erosive gastroesophageal reflux disease refractory to proton pump inhibitor therapy. World J Gastroenterol 2011;17:1858–65CrossRefGoogle ScholarPubMed
13Belafsky, PC, Postma, GN, Koufman, JA. The validity and reliability of the reflux finding score (RFS). Laryngoscope 2001;111:1313–17CrossRefGoogle ScholarPubMed
14Ford, CN. Evaluation and management of laryngopharyngeal reflux. JAMA 2005;294:1534–40CrossRefGoogle ScholarPubMed
15Shaker, R, Milbrath, M, Ren, J, Toohill, R, Hogan, WJ, Li, Q et al. Esophagopharyngeal distribution of refluxed gastric acid in patients with reflux laryngitis. Gastroenterology 1995;109:1575–82CrossRefGoogle ScholarPubMed
16Velepic, MM, Velepic, MS, Starcevic, R, Manestar, D, Rozmanic, V. Gastroesophageal reflux and sequelae of chronic tubotympanal disorders in children. Acta Otolaryngol 2004;124:914–17CrossRefGoogle ScholarPubMed
17Tasker, A, Dettmar, PW, Panetti, M, Koufman, JA, Birchall, JP, Pearson, JP. Reflux of gastric juice and glue ear in children. Lancet 2002;359:493CrossRefGoogle ScholarPubMed
18Lieu, JE, Muthappan, PG, Uppaluri, R. Association of reflux with otitis media in children. Otolaryngol Head Neck Surg 2005;133:357–61CrossRefGoogle ScholarPubMed
19Sone, M, Yamamuro, Y, Hayashi, H, Niwa, Y, Nakashima, T. Otitis media in adults as a symptom of gastroesophageal reflux. Otolaryngol Head Neck Surg 2007;136:19–22CrossRefGoogle ScholarPubMed
20Poelmans, J, Tack, J, Feenstra, L. Prospective study on the incidence of chronic ear complaints related to gastroesophageal reflux and on the outcome of antireflux therapy. Ann Otol Rhinol Laryngol 2002;111:933–8CrossRefGoogle ScholarPubMed
21Bluestone, CD. Pathogenesis of otitis media: role of eustachian tube. Pediatr Infect Dis J 1996;15:281–91CrossRefGoogle ScholarPubMed
22Lubianca Neto, JF, Hemb, L, Silva, DB. Systematic literature review of modifiable risk factors for recurrent acute otitis media in childhood. J Pediatr (Rio J) 2006;82:87–96CrossRefGoogle ScholarPubMed
23DiBaise, JK, Olusola, BF, Huerter, JV, Quigley, EM. Role of gastroesophageal reflux disease in chronic resistant sinusitis: a prospective, open label, pilot trial. Am J Gastroenterol 2002;97:843–50CrossRefGoogle ScholarPubMed