Otolaryngologic manifestations of gastro-oesophageal reflux disease.

At present, gastro-oesophageal reflux disease (GORD) is believed to be an important contributing etiologic factor in many laryngopharyngeal disorders. Endoscopic oesophagitis, however, is found in less than 25% of these patients. Prolonged oesophageal pH monitoring with a dual pH probe is the most sensitive test for diagnosing GORD-related ear, nose and throat (ENT) problems. Based on the therapy studies one may recommend the use of, preferably, proton-pump inhibitors in higher doses than in typical GORD patients. Therapy may be necessary for prolonged intervals or for a lifetime.