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Instead, this population in the community is now described as having either hypermobility spectrum disorder (HSD) or hypermobile EDS (hEDS) based on the 2017 International criteria for hEDS and descriptors for HSD

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When gastric contents ascend into regions above the oesophagus, laryngopharyngeal reflux may occur (Reference Johnston, Dettmar and Strugala5) , potentially affecting the larynx, pharynx, paranasal sinuses and middle ear (Reference Lazarini and da Silva6)