Burns Paul, O'Neill James Paul
The Adelaide and Meath Hospital, Incorporating the National Children's Hospital, Dublin, Ireland.
Curr Opin Otolaryngol Head Neck Surg. 2008 Dec;16(6):503-6. doi: 10.1097/MOO.0b013e3283169258.
Globus pharyngeus is a common condition of unknown cause, with no 'current opinion' on the optimum investigation and treatment. As such, the scope of this article is to review the current literature and to describe, from an Irish perspective, the current best practice on the management of globus.
The globus sensation has gained an updated definition to include duration, with or without other associated symptoms. Recent papers discuss the ongoing debate as to the optimum workup and management of patients with globus, highlighting the few patients presenting with hypopharyngeal tumours, with globus as one of their presenting symptoms. There still remains no reliable diagnostic test or treatment modality for the condition and randomized controlled trials are still lacking in the literature.
Owing to its unknown cause, current radiological techniques used in the diagnosis of globus remain unhelpful, as do the majority of treatment modalities. Some potential new avenues for exploration hold some hope for the future. There is a lack of current literature advancing our knowledge of the condition.
咽异感症是一种病因不明的常见病症，对于最佳的检查和治疗尚无“当前观点”。因此，本文的范围是回顾当前的文献，并从爱尔兰的角度描述目前对咽异感症管理的最佳实践。
咽异感症有了更新的定义，包括持续时间，伴有或不伴有其他相关症状。近期的论文讨论了关于咽异感症患者最佳检查和管理的持续争论，强调了少数以咽异感症为首发症状之一的下咽肿瘤患者。对于这种病症，仍然没有可靠的诊断测试或治疗方式，并且文献中仍然缺乏随机对照试验。
由于病因不明，目前用于诊断咽异感症的放射学技术仍然没有帮助，大多数治疗方式也是如此。一些潜在的新探索途径为未来带来了一些希望。目前缺乏增进我们对该病症了解的文献。
