Int Arch Otorhinolaryngol 2014; 18 - a2104
DOI: 10.1055/s-0034-1388903

Gastroesophageal Reflux Disease as a Cause of Incomum Chronic Rhinosinusitis

Lícia Oliveira Resende 1, Claudia Velasco 1, Daniela Rezende 1, Janaina Bentevi 1, Janini Figueiredo 1, Rosane Machado 1
  • 1HCPM

Introduction: Chronic rhinosinusitis (CRS) is an inflammatory condition of the mucosa of the nasal cavity and paranasal sinuses with multiple etiologies. We present a case of CRS aggravated by Gastroesophageal Reflux Disease diagnosed by the presence of Enterobacter cloacae.

Case Report: A 36-year-old male patient sought the Department of Otorhinolaryngology 2 years with symptoms of sinusitis repeat no improvement after antibiotic therapy and oral and nasal steroids. He underwent sinus surgery, evolving with persistence of symptoms despite sinus surgery. The patient was cultured nasal secretion with growth of Enterobacter cloacae and started proton pump inhibitor. The patient then progressed with significant remission of symptoms.

Discussion: GRED causes manifestations within ENT, such as recurrent laryngitis, laryngeal stenosis, and otitis media. But his relationship with CRS is controversial.

Final Comments: This case demonstrates GRED may be the cause of CRS and the appropriate treatment of gastrointestinal illness, allows control of ENT manifestations.

Keywords: sinusitis, gastroesophageal reflux, association, otolaryngological complaints.