International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 5 , ISSUE 2 ( July-December, 2015 ) > List of Articles


Gastroesophageal Reflux Disease in Patients with Eustachian Tube Catarrh

Anuja Bhargava, Meenu Cherian, Tambi A Cherian

Citation Information : Bhargava A, Cherian M, Cherian TA. Gastroesophageal Reflux Disease in Patients with Eustachian Tube Catarrh. Int J Phonosurg Laryngol 2015; 5 (2):61-66.

DOI: 10.5005/jp-journals-10023-1107

Published Online: 01-03-2012

Copyright Statement:  Copyright © 2015; The Author(s).



Eustachian tube catarrh could be due to laryngopharyngeal reflux besides other causes.


To assess gastroesophageal reflux disease (GERD) in patients with Eustachian tube catarrh and the effect of proton pump inhibitors on symptoms of Eustachian tube disease.


A total of 50 patients were selected with symptoms of Eustachian tube catarrh and evaluated prospectively in the ENT Outpatient Department of the Pondicherry Institute of Medical Sciences, Puducherry.


The group consisted of 15 (30%) males and 35 (70%) females. The largest group was of the age of 45 years and above (44%). The most common symptom of Eustachian tube catarrh was itching (84%), followed by otalgia (76%) and popping sensation on swallowing (74%). On otoscopic examination, the commonest grade of tympanic membrane retraction was grade I (57%), on tympanometry 90% of cases had middle ear pressure in range −100 to +100. The middle compliance ranged from 0.5 to 1.75 (normal) in 86% of the cases. The tympanomeric curve was type A (normal) in 78% of the cases and type C in 8% of the cases. At the end of 4 and 8 weeks, the response of treatment to proton pump inhibitors was significantly higher (z = 3.53, p < 0.05) in the studied group.


Laryngopharyngeal reflux (LPR) could be an important etiological factor in Eustachian tube catarrh. The treatment, with proton pump inhibitors, of Eustachian tube catarrh with no local identifiable cause, could be very useful to this subsect of patients.

How to cite this article

Bhargava A, Cherian M, Cherian TA, Gupta S. Gastroesophageal Reflux Disease in Patients with Eustachian Tube Catarrh. Int J Phonosurg Laryngol 2015;5(2): 61-66.

PDF Share
  1. Diagnostic evaluation in gastroesophageal reflux disease. Gastroenterol Clin North Am 1999 Dec;28(4):809-830.
  2. Extraesophageal gastroesophageal reflux disease: presentations and approach to treatment. Gastroenterol Clin North Am 1999 Dec;28(4):861-873.
  3. Laryngopharyngeal reflex: a modern day ‘great masquerader’. J Ky Med Assoc 1997 Sep;95(9):379-385.
  4. Pharyngeal acid reflux in patients with single and multiple otolaryngologic disorders. Otolaryngol Head Neck Surg 1999 Dec;121(6):725-730.
  5. Manifestations of gastroesophageal reflux in the otorhinolaryngology tract. Laryngorhinootologie 2001 Aug;80(8):464-469.
  6. The otolaryngologic manifestations of gastroesophageal reflux disease: a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 1991 Apr;101(4pt 2 suppl 53):1-78.
  7. Prevalence of oesophagitis in patients with persistent upper respiratory symptoms. J Laryngol Otol 2004 Nov;118(11):857-861.
  8. Laryngopharyngeal reflux. Otolaryngol Clin North Am 2000 Aug;33(4):789-790.
  9. Proton pump inhibitor therapy for chronic laryngopharyngitis: a randomized placebo-control trial. Otolaryngol Head Neck Surg 2004 Oct;131(4):342-350.
  10. Cummings otolaryngology head and neck surgery. 4th ed. Vol. 2. Philadelphia, Pennsylvania: Elsevier Mosby; 2005. p. 1855-1860.
  11. Gastroesophageal reflux and Eustachian tube dysfunction in an animal model. Laryngoscope 2002 Jun;112(6):955-961.
  12. Tracing of gastric reflux into the middle ear in a Mongolian Gerbil Model. Otol Neurotol 2007 Jan;28(l):124-128.
  13. Function of the Eustachian tube after weekly exposure to pepsin/hydrochloric acid. Otolaryngol Head Neck Surg 2001 Sep;125(3):123-129.
  14. Eustachian tube dysfunction—1. Available at: http://www.doctorHoffmann/etd.htm. Accessed November 23, 2007.
  15. Aging and neural control of the GI tract: IV. Clinical and physiological aspects of gastrointestinal motility and aging. Am J Physiol Gastrointest Liver Physiol 2002 Dec;283(6):G1226-G1231.
  16. Extraoesophageal manifestations of gastroesophageal reflux: a focus on laryngeal manifestations of gastroesophageal reflux disease—4. Available at: . June 6, 2007.
  17. Extraesophageal manifestations of gastroesophageal reflux disease. Clin Cornerstone 2003;5(4):32-38.
  18. The comparison of an empiric proton pump inhibitor trial vs 24 hours double probe pH monitoring in laryngopharyngeal reflux. J Laryngol Otol 2003 May;117(5):386-390.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.