Globus pharyngeus: a review of etiology, diagnostics, and treatment

Eur Arch Otorhinolaryngol. 2018 Aug;275(8):1945-1953. doi: 10.1007/s00405-018-5041-1. Epub 2018 Jun 25.

Abstract

Globus is a non-painful sensation of a lump or a foreign body in the throat, and it frequently improves with eating. Although globus is a common symptom, only little is known about the etiology, and the causes have remained controversial. Previously, globus was labelled as a hysterical symptom. However, nowadays, the research has been mainly focused on somatic causes and it is suspected that the etiology is complex. Because of the unclear etiology, the diagnostics and treatment are varying, predisposing patients to possible unnecessary investigations. This review presents the current literature of globus: its etiology, diagnostics, and treatment. In addition, a special aim is to discuss the rational investigation methods in globus diagnostics and present a diagnostic algorithm based on recent researches.

Keywords: Etiology; Globus diagnostics; Globus pharyngeus; Treatment.

Publication types

  • Review

MeSH terms

  • Electric Impedance
  • Endoscopy
  • Esophageal Motility Disorders / complications
  • Esophageal Sphincter, Upper / abnormalities
  • Esophageal pH Monitoring
  • Gastroesophageal Reflux / complications
  • Humans
  • Manometry
  • Neck / diagnostic imaging
  • Pharyngeal Diseases* / diagnosis
  • Pharyngeal Diseases* / etiology
  • Pharyngeal Diseases* / therapy
  • Prognosis
  • Somatoform Disorders / complications
  • Stress, Psychological / complications
  • Ultrasonography
  • Video Recording