Kittel G
HNO. 1986 Sep;34(9):379-83.
Clinical observations show a close relationship between neuralgia of the superior laryngeal nerve and disorders of the larynx. Neuralgia, and more minor symptoms are usually caused by hyper- and hypotonic phonatory disorders. An unphysiological compensation for glottic insufficiency causes irritation of the sensory telodendrons of the superior laryngeal nerve. As incomplete adduction of the vocal cords can often be found in patients with an autonomic laryngeal dystonia, a syndrome related to anxiety, these disturbances are often misinterpreted as "globus hystericus". However, this diagnosis does not take into account the cause and should therefore no longer be used.
临床观察表明，喉上神经痛与喉部疾病之间存在密切关系。神经痛以及更轻微的症状通常由发声功能亢进和发声功能减退引起。声门闭合不全的非生理性代偿会刺激喉上神经的感觉终末分支。由于自主神经性喉肌张力障碍（一种与焦虑相关的综合征）患者常出现声带内收不全，这些紊乱常被误诊为“癔球症”。然而，这种诊断没有考虑到病因，因此不应再使用。
