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placebo group. Similar to the result of the first follow-up

visit, there was a significantly stronger improvement of the

symptom heartburn in patients receiving esomeprazole. The

comparison of the total RFS reduction between the two

study groups reveals a statistically significant difference in

favor of the esomeprazole group (

P

0.05). In contrast to

esomeprazole recipients, patients receiving placebo did not

show any significant improvement of ventricular oblitera-

tion or laryngeal erythema. After a treatment period of three

months, the final examination revealed a statistically signif-

icant stronger improvement of erythema and diffuse laryn-

geal edema in the esomeprazole group (

P

0.05). The most

significant difference between the study groups was the

much stronger reduction of posterior commissure hypertro-

phy in the esomeprazole group after three months of therapy

(

P

0.01).

Figure 1

Summary of patient flow throughout study. PPI treatment

esomeprazole 20 mg twice daily.

Otolaryngology–Head and Neck Surgery, Vol 139, No 3, September 2008

147