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Globus sensation after laser-assisted uvulopalatoplasty
1Department of Otolaryngology--Head and Neck Surgery, University of Washington, Seattle 98195-6515, USA.
American Journal of Otolaryngology
|April 29, 1998
Summary
Laser-assisted uvulopalatoplasty (LAUP) can cause globus sensation due to temporary palate sensory loss. Symptoms resolve as palate sensation returns, suggesting careful surgical planning is needed.
Area of Science:
- Otolaryngology
- Surgical Outcomes
- Neurosensory Research
Background:
- Globus sensation is a common complaint after uvulopalatoplasty.
- The underlying cause of post-LAUP globus sensation requires further investigation.
Purpose of the Study:
- To identify the etiology of globus sensation following laser-assisted uvulopalatoplasty (LAUP).
Main Methods:
- Sixty patients undergoing LAUP were assessed for globus sensation.
- Palate sensation was mapped in symptomatic patients and compared to controls.
- Symptomatic patients were re-evaluated after two months.
Main Results:
- Globus sensation occurred in 25% of LAUP patients (8% severe, 16% mild).
- Globus sensation correlated with insensate areas of the palate (P < .01).
- Symptom resolution coincided with the return of palate sensation.
Conclusions:
- Sensory denervation of the central palate is a probable cause of post-LAUP globus sensation.
- The temporary loss and subsequent return of sensation appear linked to symptom presence and resolution.
- Surgical techniques for palate procedures should consider preserving palatal sensation to minimize globus sensation.