Skip to main content
Top
Published in: European Archives of Oto-Rhino-Laryngology 8/2018

01-08-2018 | Head and Neck

Early effects of irradiation on laryngeal mucosa in a gastroesophageal reflux model: an experimental study

Authors: Süleyman Oyan, Arzu Tatlıpınar, Beste M. Atasoy, Pembegül Güneş, Dilek Özbeyli, Serhan Keskin, Ayse Dağlı Değerli

Published in: European Archives of Oto-Rhino-Laryngology | Issue 8/2018

Login to get access

Abstract

Objective

The aim of this study was to evaluate the early histopathological changes of gastroesophageal reflux and irradiation on laryngeal mucosa in rats.

Study design

Animal study.

Setting

Experimental animal laboratory, tertiary referral center.

Subject and method

Twenty-four adult female Wistar Albino rats were grouped as: control (n = 6), reflux and irradiation (n = 10), and irradiation (n = 8). Rats were operated to create a reflux model 30 days before irradiation. Ionizing radiation was administered in a single fraction of a 20 Gy to the larynx. Laryngeal tissue samples were taken at the 4th day of irradiation and all specimens underwent histopathological examination.

Results

Edema and vascular dilation in lamina propria were higher in the reflux and irradiation, and irradiation groups than control group. Inflammation was higher in the reflux and irradiation group than the control group. Inflammation in squamous epithelium was higher in the reflux and irradiation and irradiation groups compared to the control group. Inflammation in the squamous epithelium of the irradiation group was higher than the reflux and irradiation group. In the respiratory tract epithelium, inflammation was higher in the reflux and irradiation group; additionally, a significant loss of cilia was present in the reflux and irradiation and irradiation groups while pseudostratification was higher in the reflux and irradiation group.

Conclusion

Ionizing radiation-induced inflammation may increase on previously inflammated area due to gastroesophageal reflux. Therefore, it may be helpful to investigate and treat the reflux in laryngeal cancer patients that will receive ionizing radiation.
Literature
1.
go back to reference Wada T, Sasaki M, Kataoka H, Ogasawara N, Kanematsu T, Tanida S, Nojiri S, Ando T, Okochi M, Joh T (2009) Gastroesophageal and laryngopharyngeal reflux symptoms correlate with histopathologic inflammation of the upper and lower esophagus. J Clin Gastroenterol 43:249–252CrossRefPubMed Wada T, Sasaki M, Kataoka H, Ogasawara N, Kanematsu T, Tanida S, Nojiri S, Ando T, Okochi M, Joh T (2009) Gastroesophageal and laryngopharyngeal reflux symptoms correlate with histopathologic inflammation of the upper and lower esophagus. J Clin Gastroenterol 43:249–252CrossRefPubMed
2.
go back to reference Vaezi MF (2003) Extraesophageal manifestations of gastroesophageal reflux disease. Clin Cornerstone 5:32–38CrossRefPubMed Vaezi MF (2003) Extraesophageal manifestations of gastroesophageal reflux disease. Clin Cornerstone 5:32–38CrossRefPubMed
3.
go back to reference Schreiber S, Garten D, Sudhoff H (2009) Pathophysiological mechanisms of extraesophageal reflux in otolaryngeal disorders. Eur Arch Otorhinolaryngol 266:17–24CrossRefPubMed Schreiber S, Garten D, Sudhoff H (2009) Pathophysiological mechanisms of extraesophageal reflux in otolaryngeal disorders. Eur Arch Otorhinolaryngol 266:17–24CrossRefPubMed
4.
go back to reference Ling ZQ, Mukaisho K, Hidaka M, Chen KH, Yamamoto G, Hattori T (2007) Duodenal contents reflux-induced laryngitis in rats: possible mechanism of enhancement of the causative factors in laryngeal carcinogenesis. Ann Otol Rhinol Laryngol 116:471–478CrossRefPubMed Ling ZQ, Mukaisho K, Hidaka M, Chen KH, Yamamoto G, Hattori T (2007) Duodenal contents reflux-induced laryngitis in rats: possible mechanism of enhancement of the causative factors in laryngeal carcinogenesis. Ann Otol Rhinol Laryngol 116:471–478CrossRefPubMed
5.
go back to reference Shimazu R, Kusano K, Kuratomi Y, Inokuchi A (2008) Histological changes of the pharynx and larynx in rats with chronic acid reflux esophagitis. Acta Otolaryngol 18:1–7 Shimazu R, Kusano K, Kuratomi Y, Inokuchi A (2008) Histological changes of the pharynx and larynx in rats with chronic acid reflux esophagitis. Acta Otolaryngol 18:1–7
6.
go back to reference Asaoka D, Nagahara A, Oguro M et al (2011) Establishment of a reflux esophago-laryngitis model in rats. Dig Dis Sci 56:1299–1308CrossRefPubMed Asaoka D, Nagahara A, Oguro M et al (2011) Establishment of a reflux esophago-laryngitis model in rats. Dig Dis Sci 56:1299–1308CrossRefPubMed
7.
go back to reference Lidegran M, Forsgren S, Dahlqvist A et al (1999) Short and long term irradiation effects of on laryngeal mucosa of the rat. Acta Oncol 38:1081–1091CrossRefPubMed Lidegran M, Forsgren S, Dahlqvist A et al (1999) Short and long term irradiation effects of on laryngeal mucosa of the rat. Acta Oncol 38:1081–1091CrossRefPubMed
8.
go back to reference Saltman B, Kraus DH, Szeto H et al (2010) In vivo and in vitro models of ionizing radiation to the vocal fold. Head Neck 32:572–577CrossRefPubMed Saltman B, Kraus DH, Szeto H et al (2010) In vivo and in vitro models of ionizing radiation to the vocal fold. Head Neck 32:572–577CrossRefPubMed
9.
go back to reference Gaia Filho EV, Goldenberg A, Costa HO (2005) Experimental model of gastroesophageal reflux in rats. Acta Cir Bras 20:437–444CrossRefPubMed Gaia Filho EV, Goldenberg A, Costa HO (2005) Experimental model of gastroesophageal reflux in rats. Acta Cir Bras 20:437–444CrossRefPubMed
10.
go back to reference Atasoy BM, Deniz M, Dane F et al (2010) Prophylactic feeding with immune-enhanced diet ameliorates chemoradiation-induced gastrointestinal injury in rats. Int J Radiat Biol 86(10):867–879CrossRefPubMed Atasoy BM, Deniz M, Dane F et al (2010) Prophylactic feeding with immune-enhanced diet ameliorates chemoradiation-induced gastrointestinal injury in rats. Int J Radiat Biol 86(10):867–879CrossRefPubMed
11.
go back to reference Tatlıpınar A, Güneş P, Özbeyli D, Çimen B, Gökçeer T (2011) Effects of ovariectomy and estrogen replacement therapy on laryngeal tissue: a histopathological experimental animal study. Otolaryngol Head Neck Surg 145(6):987–991CrossRefPubMed Tatlıpınar A, Güneş P, Özbeyli D, Çimen B, Gökçeer T (2011) Effects of ovariectomy and estrogen replacement therapy on laryngeal tissue: a histopathological experimental animal study. Otolaryngol Head Neck Surg 145(6):987–991CrossRefPubMed
12.
go back to reference Wiener GJ, Koufman JA, Wu WC et al (1987) The pharyngoesophageal dual ambulatory pH probe for evaluation of atypical manifestations of gastroesophageal reflux (GER). Gastroenterology 92:1694 Wiener GJ, Koufman JA, Wu WC et al (1987) The pharyngoesophageal dual ambulatory pH probe for evaluation of atypical manifestations of gastroesophageal reflux (GER). Gastroenterology 92:1694
13.
go back to reference Hawkshaw MJ, Pebdani P, Sataloff RT (2013) Reflux laryngitis: an update, 2009–2012. J Voice 27:486–494CrossRefPubMed Hawkshaw MJ, Pebdani P, Sataloff RT (2013) Reflux laryngitis: an update, 2009–2012. J Voice 27:486–494CrossRefPubMed
14.
go back to reference Weaver EM (2003) Association between gastroesophageal reflux and sinusitis, otitis media, and laryngeal malignancy: a systematic review of the evidence. Am J Med 18(Suppl 3A):115 81–89. Weaver EM (2003) Association between gastroesophageal reflux and sinusitis, otitis media, and laryngeal malignancy: a systematic review of the evidence. Am J Med 18(Suppl 3A):115 81–89.
15.
go back to reference Koufman JA (1991) The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): A clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 101(Suppl 53):1–78CrossRefPubMed Koufman JA (1991) The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): A clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 101(Suppl 53):1–78CrossRefPubMed
16.
go back to reference Ulualp SO, Toohill RJ, Kern M, Shaker R (1998) Pharyngo-UES contractile reflux in patients with posterior laryngitis. Laryngoscope 108:1354–1357CrossRefPubMed Ulualp SO, Toohill RJ, Kern M, Shaker R (1998) Pharyngo-UES contractile reflux in patients with posterior laryngitis. Laryngoscope 108:1354–1357CrossRefPubMed
17.
go back to reference Joiner MC (1993) Models of radiation cell killing. In: Steel GG (ed) Basic clinical radiobilogy, 1st ed. Edward Arnold Publishers, London, pp 40–46 Joiner MC (1993) Models of radiation cell killing. In: Steel GG (ed) Basic clinical radiobilogy, 1st ed. Edward Arnold Publishers, London, pp 40–46
18.
go back to reference Dörr W, Hendry JH (2001) Consequential late effects in normal tissues. Radiother Oncol 61(3):223–231CrossRefPubMed Dörr W, Hendry JH (2001) Consequential late effects in normal tissues. Radiother Oncol 61(3):223–231CrossRefPubMed
19.
go back to reference Denham JW, Peters LJ, Johansen J et al (1999) Do acute mucosal reactions lead to consequential late reactions in patients with head and neck cancer? Radiother Oncol 52(2):157–164CrossRefPubMed Denham JW, Peters LJ, Johansen J et al (1999) Do acute mucosal reactions lead to consequential late reactions in patients with head and neck cancer? Radiother Oncol 52(2):157–164CrossRefPubMed
Metadata
Title
Early effects of irradiation on laryngeal mucosa in a gastroesophageal reflux model: an experimental study
Authors
Süleyman Oyan
Arzu Tatlıpınar
Beste M. Atasoy
Pembegül Güneş
Dilek Özbeyli
Serhan Keskin
Ayse Dağlı Değerli
Publication date
01-08-2018
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 8/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-5010-8

Other articles of this Issue 8/2018

European Archives of Oto-Rhino-Laryngology 8/2018 Go to the issue