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Hypopharynx
Published in Neeraj Sethi, R. James A. England, Neil de Zoysa, Head, Neck and Thyroid Surgery, 2020
Patrick J. Bradley, Neeraj Sethi
Globus pharyngeus is often described as the sensation of a lump in the throat associated with dry swallow, or the need to dry swallow, which disappears completely during eating or drinking and for which no organic cause can be established [11]. The symptom may be persistent or intermittent, but of major significance is there is no pain. The clinical symptom is usually long-lasting, difficult to treat and has a tendency to recur. The diagnosis of globus pharyngeus should be one of exclusion.
Gastroenterology
Published in Paul Bentley, Ben Lovell, Memorizing Medicine, 2019
Psychiatric ‘globus pharyngis’: Patient feels lump in the throat at level of cricoidMiddle-aged female, depression
History Stations
Published in Joseph Manjaly, Peter Kullar, Alison Carter, Richard Fox, ENT OSCEs: A Guide to Passing the DO-HNS and MRCS (ENT) OSCE, 2019
Joseph Manjaly, Peter Kullar, Alison Carter, Richard Fox
If no abnormalities have been found and the history is suggestive of globus pharyngeus, then the patient can be reassured. Often a reassurance that there is no abnormality detected is all that the patient needs. In the clinical setting it can be useful to allow the patient to see his or her own aerodigestive tract using the flexible nasendoscope and video stack.
Bilateral elongated styloid process (Eagle’s syndrome) - a case report and short review
Published in Acta Oto-Laryngologica Case Reports, 2022
Arun Panwar, Vaishali Keluskar, Shivayogi Charantimath, Lokesh Kumar S, Sridhar M, Jayapriya T
Eagles’ syndrome is a combination of symptoms caused by an elongated ossified SP. An SP longer than 25 mm is considered elongated, but the elongated SP is not only diagnostic for Eagle’s syndrome, because most patients with incidental findings of an elongated SP are asymptomatic (6,7). Eagle observed that mesial deviation of the SP leads to more severe symptoms. In addition, Eagle's syndrome has a female predilection and is mostly diagnosed during the 3rd and 4th decade of life. Eagle’s syndrome has rarely been observed in young individuals. Eagle's Syndrome has been found to be associated with both unilateral and bilateral elongated SP. Symptoms may include globus pharyngeus, sensation of a foreign body in the throat, hoarseness of voice, pain radiating to the ear, throat pain on swallowing or side movements of the neck and hypersalivation (11).
Chronic refractory cough: What to do when inhalers, nasal sprays and pills do not work
Published in Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, 2018
Cough that persists despite appropriate treatment trials has been called idiopathic, unexplained or cough hypersensitivity syndrome but chronic refractory cough (CRC) is the preferred term since it persists despite a systematic evaluation for known associated conditions such as asthma, rhinitis and gastroesophageal reflux (GERD).15,16 These patients experience continuous irritation compelling them to clear their throat or cough incessantly and normally inoffensive stimuli such as talking or laughing will trigger cough. The otolaryngology literature describes patients with a dry cough precipitated by a throat tickle or dry sensation. They may also experience hoarseness, globus pharyngeus, laryngeal discomfort and fatigue, and episodic laryngospasm.15,16 The larynx may appear structurally normal but the laryngeal posture is abnormal, paradoxical vocal cord movement may be present and there is palpable muscular tension in and around the larynx evident by palpation and electromyographic (EMG) recordings.16,17 Features in patients with CRC are consistent with a vagal neuropathy.16 It may be associated with GERD and in one third of cases onset is attributed to a viral infection.17–19 Others have noted postviral vocal cord dysfunction in patients with CRC. Triggers include environmental stimuli such as odors, airborne particles, chemicals, food, refluxate and voice use may trigger symptoms.17
The effect of obstructive sleep apnea surgery on laryngopharyngeal reflux with obstructive sleep apnea
Published in Acta Oto-Laryngologica, 2020
Ruiyi Yue, Dengxiang Xing, Jie Qin, Haibo Lu, Chun Liu, Shuhua Li, Dahai Wu
In order to clarify the effect of OSA on LPR and the role of OSA surgery in LPR with OSA, we conducted this study. In the LPR positive group, all OSA patients with LPR underwent OSA surgery and postoperative RSI scores were followed up for 6 months. All patients didn’t take acid-inhibitory drugs in the whole process. The results showed that all the postoperative LPR scores at three different time points were lower than that preoperatively and LPR scores got lower and lower over time postoperatively. It demonstrated indirectly that OSA should play an important role in LPR and OSA surgery could improve the symptoms of LPR with OSA. With the increase of postoperative recovery time, the symptoms of LPR improved more obviously. Thereinto, the symptom score of breathing difficulty dropped fastest. We analyzed that this might be because breathing difficulty was not only caused by LPR, but also by OSA. Except for breathing difficulty, the symptom scores of hoarseness, throat cleaning, excess throat mucus or postnasal drip, coughing after eating or lying down and troublesome cough dropped obviously one month after surgery, too. The symptom score of globus pharyngeus dropped obviously three months after surgery. We analyzed that it might be affected by the healing of the incision after surgery. One month after surgery, the wound was not completely healed, so the globus pharyngeus caused by the wound still existed. The symptom score of heartburn dropped obviously three months after surgery, too. We speculated that it might be because the symptoms of stomach discomfort relieved slower. Finally, the symptom score of dysphagia relieved slowest and dropped obviously six months after surgery. We thought that it might be because the dysphagia score started out very low in these patients.