Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (6): 126-130.doi: 10.6040/j.issn.1673-3770.0.2024.110

• Clinical Report • Previous Articles    

A case of infantile hypopharyngeal gastric mucosal ectasia causing pharyngeal reflux symptoms and review of the literature

YAO Tingting, ZHANG Delun, LI Lan   

  1. Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen 518034, Guangdong, China
  • Published:2024-12-13

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6

Abstract: Objective To explore the diagnosis and treatment options for pharyngeal reflux symptoms caused by gastric mucosal ectasia in the hypopharynx. Methods The medical records of a 4-month-old boy were reviewed. The child was admitted to the hospital with "laryngeal tinnitus with episodic dyspnea". The diagnosis of laryngopharyngeal reflux was made on the basis of the child's medical history, laryngoscopic findings, and the RSI scale score. Two spherical masses at the junction of the larynx and the esophageal inlet were examined by electron laryngoscopy and surgically removed. Pathology suggested that the masses were an ectopic gastric mucosa. Results At follow-up examinations at 3 months, 1 year and 3 years after surgery, the children's respiratory and swallowing functions improved significantly and there was no recurrence of the masses. Conclusion Ectopic gastric mucosa in the hypopharynx is rarely reported. In the process of diagnosing pharyngeal reflux in children, if mucosal lesions or masses are found in the pharynx, the possibility of gastric mucosal ectasia should be alerted. Surgical resection of the mass is the mainstay of treatment, and proton pump inhibitors can be used to control reflux symptoms during treatment.

Key words: Heterotopic gastric mucosa, Pharyngeal reflux, Laryngeal ringing, Episodes of dyspnoea, Children

CLC Number: 

  • R766.5
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