Abstract:Objective To investigate the effect of laryngopharyngeal reflux on epiglottic cyst. Methods The retrospective study was performed using the clinical data of 170 patients examined by electronic laryngoscopy in the Department of Otorhinolaryngology of the First Affiliated Hospital of Bengbu Medical College from November 2020 to May 2021. Among them, 79 patients, including 29 males and 50 females aged (50±12) years, had epiglottic cyst (epiglottic cyst group). Ninety-one cases, including 40 males and 51 females aged (47±10) years, had normal epiglottis(control group). Reflux symptom index > 13 and reflux syndrome score > 7 were used to determine laryngopharyngeal refluxes. The influencing factors of epiglottic cyst (including gender, age, smoking, drinking, laryngopharyngeal reflux, spicy diet, and occupational exposure) were analyzed by univariate and multivariate logistic regression analyses. Results A total of 38 and 19 cases of laryngopharyngeal reflux were found in the epiglottic cyst group (48.10%, 38/79) and control group (20.88%, 19/91), respectively. Univariate analysis showed that laryngopharyngeal reflux, smoking, spicy diet, and occupational exposure were related to epiglottic cyst, and the differences were statistically significant (χ2=14.06, 8.89, 9.83, 9.60; all P values <0.05). Multivariate logistic regression analysis showed that laryngopharyngeal reflux (odds ratio [OR]=2.307, 95% confidence interval [CI]=1.104-4.820) and spicy diet (OR=2.414, 95% CI=1.241-4.698) were independent risk factors of epiglottic cyst. Conclusion Laryngopharyngeal reflux and spicy diet are independent risk factors of epiglottic cyst. Laryngopharyngeal reflux should be actively treated to prevent the occurrence of epiglottic cyst.
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