REVIEW ARTICLES
Globus Pharyngeus: Etiology, Diagnostics and Treatment
Globus Farengeus: Etiyoloji, Tanı ve Tedavisi
Received Date : 05 Sep 2019
Accepted Date : 12 Nov 2019
Available Online : 19 Dec 2019
Hakan GÖLAÇa, Metin YILMAZb
aDil ve Konuşma Terapisi Bölümü, Gazi Üniversitesi Sağlık Bilimleri Fakültesi,
bKulak Burun Boğaz Hastalıkları ABD, Gazi Üniversitesi Tıp Fakültesi,
Ankara, TÜRKİYE
Doi: 10.24179/kbbbbc.2019-71311 - Makale Dili: TR
KBB ve BBC Dergisi 2019;27(3):137-48
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Globus pharyngeus is a non-painful sensation of a lump or a foreign body in the throat.
The sensation may occur persistently or intermittently and it frequently improves with eating.
Globus like symptoms were first described by the Egyptians around 1900 BC. Currently, various
terms like “globus”, “globus pharyngeus”, “globus hystericus”, “pseudodysphagia” and “globus syndrome”
are available in literature. The etiology of globus is still unclear and multifactorial reasons
are considered. Due to the uncertain etiology, it is difficult to manage the diagnosis and treatment
process of globus. This review presents the current literature of globus including its etiology, diagnosis,
treatment and also an algorithm for globus management.
Keywords: Pharynx; awareness; disease management
ÖZET
Globus farengeus; boğazda yumru veya yabancı cisim hissi şeklinde tarif edilen, ağrısız, sürekli
ya da aralıklı zamanlarda ortaya çıkan ve genelde yemek yeme esnasında artış gösteren klinik
bir semptomdur. Globus benzeri semptomlar ilk olarak MÖ yaklaşık 1900’lü yıllarda Mısırlılar tarafından
tarif edilmiştir. Günümüz literatüründe ise semptomu tariflemek için başta “globus”, “globus
pharyngeus”, “globus hystericus”, “pseudodysphagia” ve “globus syndrome” olmak üzere çeşitli
tanımlar kullanılmaktadır. Tarihçesi çok eski zamanlara dayanmasına rağmen globus etiyolojisi hâlâ
tam olarak bilinmemekte ve multifaktöriyel sebepler öne sürülmektedir. Etiyolojideki bu belirsizlik,
standart tanı ve tedavi sürecini de olumsuz etkilemektedir. Bu makalede, globusun etiyolojisine,
teşhisine ve tedavisine ait güncel literatür bilgilerinin yanı sıra globus yönetiminde kullanılmak
üzere bir algoritmaya yer verilmiştir.
Anahtar Kelimeler: Boğaz; farkındalık; hastalık yönetimi
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