Journal of Laryngology and Otology
selection Prevalence of non-allergic nasal complaints in an urban and a rural population in Sweden. Jessen, M., Janzon, L. randomly selected persons between 16 and 82 years of age were asked whether they had suffered from such nasal complaints as obstruction, sneezing and discharge, at least during the previous six months. Seventy five per cent answered the questionnaire, two thirds of whom were city dwellers and one third lived in a rural district. No difference was found between the urban and
... tween the urban and the rural populations regarding the prevalence of symptoms. Twenty-one per cent suffered from"non-allergic nasal complaints, and 5 per cent from allergic nasal complaints. The prevalence of non-allergic nasal complaints was highest in the 20-30 year age group, and lowest in the 50-60 year age group. Contributory factors were of greater importance among the younger individuals than among the more elderly. Author. Ambulatory esophageal and hypopharyngeal pH monitoring in patients with hoarseness. Katz, P. O. Ten patients referred by an otolaryngologist for ambulatory esophageal pH monitoring for suspected reflux-induced hoarseness were monitored with a dual ambulatory pH system in which probes were simultaneously placed 5 cm above the lower esophageal sphincter and 2 cm above the upper esophageal sphincter (laryngeal inlet). All were nonsmokers. Hypopharyngeal reflux (pH drop less than 4 in upper electrode preceded by pH drop less than 4 in esophageal electrode) was conclusively demonstrated in seven of 10 patients. Three of these seven patients had normal frequency and duration of esophageal reflux and would have been classified as normal, yet demonstrated acid reflux into the hypopharynx. As a group, these patients were high frequency, short duration, upright refluxers. Combined hypopharyngeal and esophageal pH monitoring is useful in the diagnosis of reflux-induced hoarseness. Author. Epiglottitis: comparison of signs and symptoms in children less than 2 years old and older. Losek, J. A 20-year retrospective review of 236 children with epiglottitis was performed to determine the frequency of occurrence of 21 presenting signs and symptoms. To determine the association of age with clinical presentation and diagnosis of epiglottitis, the signs and symptoms of children less than 2 years old were compared with those of children 2 years of age and older. Fifty-eight children (25 per cent) were less than 2 years old. Sore throat was the only factor significantly different in the two age groups (P less than .01), occurring more commonly in the older children. There were 128 children (54 per cent) with blood cultures positive for Haemophilus influenzae. Analyses of patients with positive blood cultures gave similar results. The signs and symptoms that clinically support epiglottitis in children less than 2 years old are similar in older children. Author. Acute-onset Brown's syndrome associated with pansinusitis.