yam64(4)_360.pdf 696 KB
Fukuhara, Takahiro Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB KAKEN
Matsuda, Eriko Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Faculty of Medicine, Tottori University
Ogawa, Ayame Department of Clinical Laboratory, Okayama City Hospital
Donishi, Ryohei Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Faculty of Medicine, Tottori University
Koyama, Satoshi Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Faculty of Medicine, Tottori University Researchers DB
Background: A globus sensation is one of the most common complaints in otolaryngological practice. Patients with no associated abnormalities detected during the usual examinations performed in ENT clinics, are being diagnosed with globus sensation. Cervical ultrasonography is usually not performed in ENT clinics; however, it is useful in screening diseases of the subcutaneous tissue/organs, whose detection is not possible with the routine ENT examinations. The purpose of our study was to elucidate whether cervical ultrasound examination identifies abnormalities in patients with globus sensation. Methods: A single-centre retrospective cohort study. Cervical ultrasonographic examinations were performed on patients with globus sensation at the Department of Otolaryngology, Head and Neck Surgery of Tottori university hospital, a tertiary care centre, from January 2013 to September 2017. The subjects were 74 patients who complained of globus sensation with no abnormality in general otolaryngological examination including laryngoscopy. Results: Ultrasonography detected structural abnormalities in 60.8% of the patients with globus sensation: thyroid disorders in 41 patients, including: 35 patients with thyroid nodules, 4 patients with Hashimoto’s disease, 1 patient with Grave’s disease, and 1 patient with subacute thyroiditis; Sjögren syndrome in 2 patients; and cervical lipoma in 1 patient. Furthermore, 2 patients with thyroid disorders had concomitant esophageal cancer. Conclusion: Cervical ultrasonography identified thyroid disorders in patients with globus sensation, despite the normal ENT status. Therefore, it would be appropriate to adopt cervical ultrasonography as a routine examination at ENT clinics for patients with globus sensation.
Tottori University Medical Press
Yonago Acta Medica
|Current Journal Title||
Yonago Acta Medica
(C) 2021 Tottori University Medical Press.
Fukuhara T, Matsuda E, Ogawa A, et al. Use of Cervical Ultrasonography in Globus Sensation Investigation: A Retrospective Cohort Study. Yonago Acta Medica. 2021, 64(4), 360-363. doi:10.33160/yam.2021.11.007
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital