scholarly journals Globus pharyngeus a diagnostic challenge for otolaryngologist

Author(s):  
Tanvir Hussain ◽  
Aishan Patil ◽  
Amy Copperthwaite ◽  
Ronan Fahy ◽  
Emma Keane

<p class="abstract"><strong>Background:</strong> Globus pharyngeus, also known as globus sensation, can be defined as the sensation of a lump or foreign body in the absence of a mass on examination. The disorder is frequently linked to catarrh, hoarseness, chronic cough and persistent throat clearing. Globus pharyngeus accounts for 4 percent of ENT (ear, nose and throat) referrals. The exact cause of globus pharyngeus is unknown. The presence of lingual tonsil, cricopharyngeal spasm, hiatus hernia, cervical osteophytosis, sinusitis, gastro-oesophageal reflux, goiter post-nasal drip and anxiety have all been shown as associations in the literature. Digestive enzymes and regurgitation of stomach acid are thought to cause persistent inflammation, for example, of the laryngopharynx, which causes symptoms. Reflux has been depicted in 23-68 percent of patients with globus sensation. Notably, some studies claim that asymptomatic control patients have a similar rate.</p><p class="abstract"><strong>Methods:</strong> We presented our audit study of 50 subsets of patients. It was considered that gastro-oesophageal reflux was the reason; however, it cannot explain all the potential causes.</p><p class="abstract"><strong>Results:</strong> Barium swallow was found to be a very key diagnostic tool in this group of patients.</p><p class="abstract"><strong>Conclusions:</strong> Panendoscopy in globus sensation in the throat, looking through the possible causes of globus sensation, current trends and diagnosis as well as methods of treatment.</p>

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Shireen Samargandy ◽  
Hani Marzouki ◽  
Talal Al-Khatib ◽  
Mazin Merdad

Background. Dentures are a common cause of inadvertent foreign body ingestion particularly in the elderly. Due to their radiolucent nature, they often present a diagnostic challenge to care providing physicians. Case Presentation. A 66-year-old female presented to our otolaryngology clinic with a 2-year history of dysphagia. Her physical examination was unremarkable. Computed tomography scan of the neck and barium swallow suggested Zenker diverticulum. She was planned for endoscopic diverticulotomy; however, during surgery, a foreign body was incidentally found and retrieved, which was a partial lower denture. The diverticulum resolved thereafter, and the patient's symptoms abated. Conclusion. The authors recommend evaluating the esophagus endoscopically first in cases of upper esophageal diverticular formation, even when planning an open repair approach, to rule out any concealed foreign bodies.


BMJ ◽  
1985 ◽  
Vol 291 (6492) ◽  
pp. 411-411
Author(s):  
D R Naik ◽  
A Bolia ◽  
D J Moore

BMJ ◽  
1985 ◽  
Vol 291 (6492) ◽  
pp. 411-411
Author(s):  
P I MacFarlane ◽  
V Miller

2000 ◽  
Vol 114 (12) ◽  
Author(s):  
G. W. Back ◽  
P. Leong ◽  
R. Kumar ◽  
R. Corbridge

1987 ◽  
Vol 12 (4) ◽  
pp. 271-275 ◽  
Author(s):  
J. A. WILSON ◽  
R. C. HEADING ◽  
A. G. D. MARAN ◽  
A. PRYDE ◽  
J. PIRIS ◽  
...  

1991 ◽  
Vol 105 (3) ◽  
pp. 220-221 ◽  
Author(s):  
N. M. Smith ◽  
F. W. Staffordt

AbstractA 69-year-old female patient presented with symptoms characteristic of globus pharyngeus and barium swallow examination was normal. Her symptoms persisted and pharyngoscopy was undertaken; a post-cricoid polyp was found and removed. Histological examination revealed this to be a lymphangioma. Histological appearances, pathogenesis and treatment are discussed. The case illustrates that persisting symptoms presenting as globus pharyngeus should be further investigated to exclude rare lesions.


2007 ◽  
Vol 264 (9) ◽  
pp. 1095-1097 ◽  
Author(s):  
A. Alaani ◽  
S. Vengala ◽  
M. N. Johnston

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