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Partial epiglottectomy as a possible treatment for globus pharyngeus?
J L Quesada1, J Lorente, P Quesada
1Department of Otolaryngology Head and Neck Surgery, Vall d'Hebron University Hospital, Barcelona, Spain. jquesada@hg.vhebron.es
Summary
Globus pharyngeus, a common throat sensation, often resists treatment. Partial epiglottectomy surgery effectively resolved symptoms in most patients unresponsive to medical care.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Globus pharyngeus is a frequent otolaryngology referral, affecting 3-4% of outpatients.
- Etiology remains unclear, with 40-75% of patients experiencing persistent symptoms despite treatment.
Purpose of the Study:
- To evaluate the efficacy of partial epiglottectomy for refractory globus pharyngeus.
Main Methods:
- Thirteen patients with globus pharyngeus, unresponsive to medical treatment, underwent partial epiglottectomy.
- Symptom resolution was assessed one year post-surgery.
Main Results:
- Eleven out of thirteen patients (84.6%) were symptom-free one year after partial epiglottectomy.
- The procedure demonstrated a high success rate in this cohort.
Conclusions:
- Partial epiglottectomy is a viable surgical option for globus pharyngeus when conservative treatments fail.
- This intervention offers significant symptom relief for patients with idiopathic or treatment-resistant globus pharyngeus.