Evaluation and Treatment of Pediatric Gastroesophageal Reflux and Its Effects on Voice

Abstract

Voice disorders in the pediatric population are common, but have been understudied. Inflammation, trauma, neurologic, and congenital anomalies can all result in childhood dysphonia. Laryngopharyngeal reflux, an extra-esophageal variation of gastroesophageal reflux, has been associated with laryngeal symptoms of dysphonia, globus sensation, throat-clearing, and chronic cough in children. This article reviews the current evaluation and treatment techniques of reflux, and the effects of laryngopharyngeal reflux on voice quality in children. A case study illustrating the importance of a multidisciplinary approach in diagnosing and treating this challenging disorder is presented.