Hostname: page-component-5db58dd55d-ggg9q Total loading time: 0 Render date: 2026-06-01T09:30:11.294Z Has data issue: false hasContentIssue false
  • English
  • Français

Globus hystericus: globus syndrome?

Published online by Cambridge University Press:  29 June 2007

Heikki J. Puhakka  and
Pentti Kirveskari
Heikki J. Puhakka*
Affiliation:
Department of Otolaryngology, University Central Hospital, Turku, Finland
Pentti Kirveskari
Affiliation:
Institute of Dentistry, University of Turku, Turku, Finland
*
Heikki J. Puhakka, M.D., Department of Otolaryngology, University Central Hospital, SF-20520 Turku, Finland.
Get access Rights & Permissions [Opens in a new window]

Abstract

In a double-blind study, 22 patients with typical globus symptoms were investigated by both otolaryngological and odontological methods. All the patients underwent thorough hematological, endoscopic and radiological examinations. They were randomly divided into a treatment group and a placebo group and underwent either simple occlusal adjust or mock adjustment, respectivity. The result of occlusal adjustment was assessed immediately after completion of treatment. The effect of treatment on globus symptoms was assessed 2 to 3 months later in a double-blind study. Binomial tests showed that there was a significant association between the success of occlusal adjustment and disappearance of the globus symptom. A new name for this disease is proposed: the globus syndrome.

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 3 , March 1988 , pp. 231 - 234
Copyright
Copyright © JLO (1984) Limited 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Cockel, R. (1977) Oral disorders and globus hystericus. Clinical Gastroenterology, 6: 547–557.CrossRefGoogle ScholarPubMed
Delahunty, J. E. and Ardran, G. M. (1970) Globus hystericus—A manifestation of reflux esophagitis?. Journal of Laryngology and Otology, 84: 1049–1054.CrossRefGoogle Scholar
Flores, T. C., Crosse, F. S. and Jones, R. D. (1981) Abnormal esophageal manometry in globus hystericus. Annals of Otology, Rhinology and Laryngology, 90: 383–386.CrossRefGoogle ScholarPubMed
Gray, L. P. (1983) The relationship of the ‘inferior constrictor swallow’ and ‘globus hystericus’ or the hypopharyngeal syndrome. Journal of Laryngology and Otology, 97: 607–618.CrossRefGoogle ScholarPubMed
Henderson, M. B., Woolf, C. and Marryatt, G. (1976) Pharyngoesophageal dysphagia and gastro-esophageal reflux. Laryngoscope, 86: 1531–1539.CrossRefGoogle Scholar
Kirveskari, P. and Puhakka, H. (1985) Effect of occlusal adjustment on globus symptom. Journal of Prosthetic Dentistry, 54: 832–835.CrossRefGoogle ScholarPubMed
Lancet: Editorial (1982) Heartburn and globus: Pathological, functional or normal? Lancet, I: 604–605.Google Scholar
Lehtinen, V. and Puhakka, H. (1976) A psychosomatic approach to the globus hystericus syndrome. Acta Psychiatrica Scandinavica, 53: 21–28.CrossRefGoogle Scholar
Moloy, P. J. and Charter, R. (1982) The globus symptom Incidence, therapeutic response, and age and sex relationships. Archives of Otolaryngology, 108: 740–744.CrossRefGoogle ScholarPubMed
Myrhaug, H. (1983) Globus hystericus—occlusal parafunction. Journal of the Royal Society of Medicine, 76: 162.CrossRefGoogle ScholarPubMed
Pratt, L. W., Tobin, W. H. and Gallagher, R. A. (1976) Globus hystericus: Office evaluation by psychological testing with the MMPI. Laryngoscope, 86: 1540–1551.CrossRefGoogle ScholarPubMed
Puhakka, H., Lehtinen, V. and Aalto, T. (1976) Globus hystericus—a psychosomatic disease?. Journal of Laryngology and Otology 90: 1021–1026.CrossRefGoogle ScholarPubMed
Thompson, W. G. and Heaton, K. W. (1980) Functional bowel disorders in apparently healthy people.Gastroenterology, 79: 283–288.CrossRefGoogle ScholarPubMed
Thompson, W. G. and Heaton, K. W. (1982) Heartburn and globus in apparently healthy people. CMA Journal, 126: 46–48.Google ScholarPubMed
Watson, C. W. and Sullivan, S. N. (1974) Hypertonicity of the cricopharyngeal sphincter: A cause of globus sensation.Lancet, II: 1417–1419.CrossRefGoogle Scholar
Watson, W. C., Sullivan, S. N., Corke, M. and Rush, D. (1978) Globus and headache: Common symptoms of the irritable bowel syndrome. CMA Journal, 118: 387–388.Google ScholarPubMed
Weisskopf, A. (1981) Reflux esophagitis: A cause of globus. Otolaryngology Head and Neck Surgery, 89: 780–782.CrossRefGoogle ScholarPubMed