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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1984;27(5): 402-7. |
The Clinical Evaluation of the Globus Symptom |
Tae Young Jung, MD, In Young Park, MD, Myung Hyun Chung, MD, In Gun Chun, MD, Young Eig Park, MD, and Myung Ho Lee, MD |
Department of Otolaryngology, Yonsei University College of Medicine, Seoul, Korea |
Globus 증후에 대한 임상적 고찰 |
정태영 · 박인용 · 정명현 · 전인균 · 박용익 · 이명호 |
연세대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
The globus symptom is a condition in which a patient, often a middle aged woman, complains of a lump and choking sensation in the throat. Up to now, there are many arguments about the etiological factors of that symptom, i.e. functional, psychological, pathological? So the author studied oto-rhino-laryngologically, radiologically and psychiatrically with special attention to psychosomatic considerations, 45 globus patients for the purpose of finding any objective etiological factor for the globus sensation between May 1983 to March 1984. The results are as follows ; 1) Relative to men, women are affected about two times more commonly and the symptom is most frequently in the age group between 40-49. 2) The radiological examination revealed that the organic lesion is in 35.6% of the total number of globus patients, but the lesion which is related to the globus symptom was found in only 20%. 3) The M.M.P.I. study revealed psychopathology in 58.9% of 31 followed-up patients and was more commonly found in the negative group.4) The C.C.S. with morphology, urinalysis, serum Fe++ and thyroid function study revealed no abnormal finding. 5) For diangnosis of the globus symptom, we must study the U.G.I., esophagogram, endoscopy and psycchiatric examination with accurate history taking and a physical examination.
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