title: [Clinical and phmetric evaluation of gastro-esophageal reflux impact on upper airways in adult].
abstract: BACKGROUND
  Gastroesophageal reflux is a frequent and benign affection. It represents an etiopathological entity in otorhinolaryngology; that may occasion a large variety of ENT manifestations.
  
  
  OBJECTIVE
  To evaluate clinical and pHmetric impact of gastro esophageal reflux on upper airways in adult.
  
  
  METHODS
  Prospective study about 95 cases diagnosed and treated at the ENT department of military hospital of Tunis. Clinical features, pH metric profiles and therapeutic approach are reported and compared to the literature.
  
  
  RESULTS
  The mean age was 37 years old. Sex ratio was 1.16. Pharyngolaryngeal symptoms dominated ENT manifestations (41 cases). Laryngeal dyspnea, cough and dysphonia were predictive of danger. Positive pH metric rate collated to posterior laryngitis and pharyngitis were respectively 81.2% and 79.1%. Posterior laryngitis, dental erosion and chronic sinusitis, seem to have pejorative significance.
  
  
  CONCLUSIONS
  Otorhinolaryngologist must think about asymptomatic reflux every time when chronic or recurrent ENT affection remain unexplained after complete clinical investigations. PH monitoring confirms gastroesophageal reflux disease.
authors.affiliation: Serivice Oto-rhino-laryngologie, Hôpital Militaire Principal d'Instruction de Tunis, Faculté de Médicine, Tunis, Tunisie.
authors.forename: Anissa
authors.initials: A
authors.lastname: Sethom
authors.forename: Khemaies
authors.initials: K
authors.lastname: Akkari
authors.forename: Khaled
authors.initials: K
authors.lastname: Riahi
authors.forename: Imed
authors.initials: I
authors.lastname: Miled
authors.forename: Sonia
authors.initials: S
authors.lastname: Benzarti
authors.forename: Mohamed Kamel
authors.initials: MK
authors.lastname: Chebbi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D050782:Esophageal pH Monitoring; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis* / Q000453:epidemiology / Q000378:metabolism / Q000503:physiopathology*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D020545:Respiratory Mucosa / Q000737:chemistry / Q000378:metabolism / Q000503:physiopathology; D012137:Respiratory System / Q000378:metabolism* / Q000473:pathology / Q000503:physiopathology*; D012140:Respiratory Tract Diseases / Q000453:epidemiology / Q000209:etiology; D055815:Young Adult