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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
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.
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.
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