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Hoarseness and misdirected swallowing in patients with hiatal hernia
Linköping University, Department of Neuroscience and Locomotion, Oto-Rhiono-Laryngology and Head & Neck Surgery. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Reconstruction Centre, Department of ENT - Head and Neck Surgery UHL.
Linköping University, Department of Clinical and Experimental Medicine, Surgery . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery Östergötland. Östergötlands Läns Landsting.
Linköping University, Department of Clinical and Experimental Medicine, Oto-Rhiono-Laryngology and Head & Neck Surgery . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Reconstruction Centre, Department of ENT - Head and Neck Surgery UHL.
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2007 (English)In: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 264, no 12, 1437-1439 p.Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to elucidate whether misdirected swallowing is an extra-laryngeal cause of hoarseness and investigate whether the prevalence of misdirected swallowing and hoarseness in patients with hiatal hernias differ from those with and without pathological gastroesophageal reflux (GER). One hundred and ninety eight patients with hiatal hernias diagnosed via esophageal manometry and pH-reflux test and 262 subjects in the general population who did not have a hiatal hernia at endoscopy, filled in a questionnaire about symptoms on hoarseness, misdirected swallowing, and heartburn. Hoarseness (35%), misdirected swallowing to the larynx (MSL; 35%), misdirected swallowing to the nose (MSN; 22%) and heartburn (85%) were significantly more common in patients with hiatal hernia than in controls (13, 5, 1, and 6%, respectively, P<0.001). MSL and MSN in the patient group were significantly interrelated (P<0.0001). Hoarseness and MSL were not significantly associated (P<0.076). Hoarseness and MSL were as common in the hernia group with normal GER, as in the group with pathological GER. There is a predisposition for hoarseness and MSL in patients with hiatal hernias, but the cause-and-effect relationship is unclear. Hoarseness does not seem to be caused by pathological GER.

Place, publisher, year, edition, pages
2007. Vol. 264, no 12, 1437-1439 p.
Keyword [en]
Gastroesophageal reflux - Hiatal hernia - Hoarseness - Misdirected swallowing
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-20323DOI: 10.1007/s00405-007-0396-8PubMedID: 17643255OAI: oai:DiVA.org:liu-20323DiVA: diva2:233978
Available from: 2009-09-03 Created: 2009-09-03 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Svalgproblem och hiatushernia: reflektioner över symptom och fynd
Open this publication in new window or tab >>Svalgproblem och hiatushernia: reflektioner över symptom och fynd
2009 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Abstract [sv]

Denna licentiatavhandling består av tre delarbeten. Dessa tre arbeten handlar omsymtom som inte alltid kommer i fråga när det gäller gastroesofageal reflux.I det första arbetet var syftet att undersöka huruvida patienter medmagmunsbråck (hiatushernia) blev förbättrade med avseende på symtom somfelsväljning till larynx (MSL) och till näsan (MSN), samt heshet (H), som ettresultat av hiatusherniaoperation. Nittio patienter, som undersöktes före ochefter hiatusherniaoperation, fyllde i frågeformulär om H, MSL och MSN. Hos30% av patienterna förekom MSL och lika många hade MSN. Heshet fanns hos25% av patienterna före operation. Dessa symtom hade ett signifikant inbördessamband (p<0.008). Alla symtom minskade efter antirefluxkirurgi (p<0.001).Förbättringen var oberoende av patienternas vikt.

I det andra arbetet studerades huruvida felsväljning var en extralaryngeal orsaktill heshet och om det var någon skillnad i prevalensen för felsväljning ochheshet mellan patienter med hiatushernia med gastroesofageal refluxsjukdom(GERD) och patienter med hiatushernia utan patologisk gastroesofageal reflux(GER). Patientmaterialet bestod av 198 patienter, som befunnits ha hiatusherniavid undersökning med esofagusmanometri och pH-refluxtest och somkontrollgrupp 262 personer ur normalbefolkningen, vilka inte visade sig hahiatushernia vid endoskopi. Dessa grupper svarade på ett frågeformulärangående symtom på heshet, felsväljning och halsbränna. Jämförelsen mellanpatientgrupp och kontrollgrupp visade H hos 35% respektive 13%, MSL hos35% respektive 5%, MSN hos 22% respektive 1% och halsbränna hos 85%respektive 6% (p<0.001). Båda symtomen MSL och MSN var vanliga(p<0.0001). H och MSL hade inget inbördes förhållande. H och MSL var likavanligt i gruppen med GERD som i gruppen med GER. Slutsatsen blev att detfinns en predisponering för H och MSL hos patienter med hiatushernia, menorsakssambandet är oklart. Heshet verkar inte vara orsakat av GERD.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2009. 35 p.
Series
Linköping Studies in Health Sciences. Thesis, ISSN 1100-6013 ; 98
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-20345 (URN)978-91-7393-620-0 (ISBN)
Presentation
2009-05-29, Elsa Brändström, Södra Entrén, Campus US, Linköpings Universitet, Linköping, 13:00 (Swedish)
Supervisors
Available from: 2009-09-04 Created: 2009-09-04 Last updated: 2009-09-04Bibliographically approved

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Mjönes, Anna-BrittaBorch, KurtLedin, TorbjörnHultcrantz, Elisabeth

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Oto-Rhiono-Laryngology and Head & Neck SurgeryFaculty of Health SciencesDepartment of ENT - Head and Neck Surgery UHLSurgery Department of Surgery in ÖstergötlandDepartment of Surgery ÖstergötlandÖstergötlands Läns LandstingOto-Rhiono-Laryngology and Head & Neck Surgery
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European Archives of Oto-Rhino-Laryngology
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