Predictive value of laryngeal pseudosulcus for gastroesophageal reflux in pediatric patients

Michele M. Carr, Usamah Abu-Shamma, Linda S. Brodsky

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objective: To determine if the presence of laryngeal pseudosulcus is a good predictor of reflux in children. Methods: 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. Results: 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. Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)1109-1112
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume69
Issue number8
DOIs
StatePublished - Aug 2005

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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