Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Artículo Open Access |
| Published: |
Wiley
2025
|
| Subjects: | |
| Online Access: | https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.1372 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Table of Contents:
- Reducing the Duration of 24‐Hour Multichannel Intraluminal Impedance‐pH Monitoring for Laryngopharyngeal Reflux Hyun Jee Lee Jeong Wook Kang Su Il Kim Young Chan Lee Young‐Gyu Eun Otolaryngology–Head and Neck Surgery Abstract Objective To investigate whether reducing the 24‐hour hypopharyngeal‐esophageal multichannel intraluminal impedance‐pH (HEMII‐pH) monitoring duration can maintain effective diagnostic sensitivity for laryngopharyngeal reflux (LPR). Study Design Retrospective diagnostic accuracy study. Setting Academic center outpatient clinic. Methods Data from 140 patients diagnosed with LPR using 24‐hour HEMII‐pH monitoring were reviewed. Sensitivity was assessed based on different monitoring durations and time‐of‐day segments. The diagnostic sensitivity of shorter durations was compared to the full 24‐hour monitoring, and optimal time periods were identified. Results Even with just 6 hours of monitoring, a sensitivity of 81.4% was achieved, and extending it to 10 hours further increased sensitivity to 90%. When considering both monitoring duration and start time, the shortest periods achieving ≥80% sensitivity were 2:00 p.m. to 9:00 p.m., 3:00 p.m. to 10:00 p.m., and 4:00 p.m. to 11:00 p.m. For ≥90% sensitivity, the optimal monitoring periods were 10:00 a.m. to 8:00 p.m. and 11:00 a.m. to 9:00 p.m. Conclusion Reducing the duration of HEMII‐pH monitoring can maintain high diagnostic sensitivity for LPR, offering a more patient‐friendly alternative to the 24‐hour monitoring. These findings demonstrate that shorter monitoring durations can enhance patient comfort and compliance without compromising diagnostic accuracy. 10.1002/ohn.1372 http://creativecommons.org/licenses/by-nc-nd/4.0/