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International Journal of Otolaryngology
Volume 2013, Article ID 946780, 5 pages
http://dx.doi.org/10.1155/2013/946780
Review Article

Management of Globus Pharyngeus

1Department of Otolaryngology, Bradford Royal Infirmary, Bradford BD9 6RJ, UK
2Department of Otolaryngology, Pinderfields Hospital, Wakefield WF1 4DG, UK
3Department of Otolaryngology, The Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK

Received 18 March 2013; Accepted 7 May 2013

Academic Editor: David W. Eisele

Copyright © 2013 S. Kortequee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Globus pharyngeus is a common ENT condition. This paper reviews the current evidence on globus and gives a rational guide to the management of patients with globus. The aetiology of globus is still unclear though most ENT surgeons believe that reflux whether acidic or not plays a significant role. Though proton pump inhibitors are used extensively in practice, there is little evidence to support their efficacy. Most patients with globus can be discharged after simple office investigations. The role of pepsin-induced laryngeal injury is an exciting concept that needs further study. Given the benign nature of globus pharyngeus, in most cases, reassurance rather than treatment or extensive investigation with rigid oesophagoscopy or contrast swallows is all that is needed. We need more research into the aetiology of globus.