P Burns1, C Timon. 1. Department of Otolaryngology, Royal Victoria Eye & Ear Hospital, Dublin, Ireland. pauljburns@eircom.net
Abstract
INTRODUCTION: The globus sensation is a constant feeling of a lump in the throat and may be associated with thyroid enlargement. A two year prospective study was set up to ascertain the relationship between thyroid pathology and globus symptoms. MATERIALS AND METHODS: All patients undergoing thyroid surgery over a two year period were included. Patients were questioned pre- and post-operatively. Globus symptom scores were recorded using a visual analogue scale. The size, weight and histological features of the removed specimens were correlated and statistical analysis performed. RESULTS: Two hundred patients were included in the study; 58 were symptomatic for globus pharyngeus pre-operatively, and 80 per cent of these patients' symptoms resolved post-operatively (p < or = 0.0001). Patients with histological features of inflammation showed the greatest improvement (p < or = 0.0001). CONCLUSION: As many as one-third of patients with a thyroid mass will complain of a globus-like symptom. Patients undergoing thyroid surgery, who are symptomatic for globus pharyngeus, can expect that their symptoms will improve following surgery.
INTRODUCTION: The globus sensation is a constant feeling of a lump in the throat and may be associated with thyroid enlargement. A two year prospective study was set up to ascertain the relationship between thyroid pathology and globus symptoms. MATERIALS AND METHODS: All patients undergoing thyroid surgery over a two year period were included. Patients were questioned pre- and post-operatively. Globus symptom scores were recorded using a visual analogue scale. The size, weight and histological features of the removed specimens were correlated and statistical analysis performed. RESULTS: Two hundred patients were included in the study; 58 were symptomatic for globus pharyngeus pre-operatively, and 80 per cent of these patients' symptoms resolved post-operatively (p < or = 0.0001). Patients with histological features of inflammation showed the greatest improvement (p < or = 0.0001). CONCLUSION: As many as one-third of patients with a thyroid mass will complain of a globus-like symptom. Patients undergoing thyroid surgery, who are symptomatic for globus pharyngeus, can expect that their symptoms will improve following surgery.
Authors: Pia Järvenpää; Taru Ilmarinen; Ahmed Geneid; Petra Pietarinen; Teemu J Kinnari; Heikki Rihkanen; Johanna Ruohoalho; Mari Markkanen-Leppänen; Leif Bäck; Perttu Arkkila; Leena-Maija Aaltonen Journal: Eur Arch Otorhinolaryngol Date: 2016-09-17 Impact factor: 2.503
Authors: Antje E Gohrbandt; Anna Aschoff; Bernhard Gohrbandt; Annemarie Keilmann; Hauke Lang; Thomas J Musholt Journal: World J Surg Date: 2016-03 Impact factor: 3.352