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An approach to globus pharyngeus.

Fang Joe Chen1, Jae Hong Park2

  • 1MD, BPharm (Hons), Non-Accredited ENT Registrar, Toowoomba Base Hospital, Toowoomba, Qld; Associate Lecturer, School of Medicine and Dentistry, Griffith University, Gold Coast, Qld; Lecturer, Faculty of Medicine, The University of Queensland, Brisbane, Qld.

Australian Journal of General Practice
|August 5, 2024
PubMed
Summary

Globus pharyngeus, or globus, is a common throat sensation. While causes are uncertain, management strategies for this condition can often be initiated in primary care.

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Area of Science:

  • Otolaryngology
  • Primary Care Medicine

Background:

  • Globus pharyngeus (globus) presents as a persistent throat lump or tightness.
  • Globus affects up to 45% of the population and is a common primary care issue.

Purpose of the Study:

  • To review potential causes of globus.
  • To provide a primary care guideline for globus work-up and management.

Main Methods:

  • Narrative review of existing literature on globus.
  • Synthesis of information for clinical guideline development.

Main Results:

  • Causes of globus are not fully understood but likely involve muscle tension and mucosal irritation.
  • Globus accounts for 4% of otolaryngology referrals from primary care.

Conclusions:

  • Many globus causes are benign and manageable in primary care.
  • Clinicians should maintain suspicion for malignancy despite the benign nature of most globus cases.