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The Clinical Significance of a Lump in the Throat

The Clinical Significance of a Lump in the Throat Abstract At the present time there is a tendency on the part of laryngologists in general to consider any complaint of a lump in the throat by a patient to be functional in origin. The very term globus hystericus itself suggests an anxiety state. According to Weiss and English,1 "The hysterical symptom of swallowing over a lump is one of the most widely recognized indications of nervous illness." Jacobson2 demonstrated with x-ray studies that the sensation of a lump is produced by an esophageal spasm, This spasm, which is the motor expression of an underlying emotional disturbance, may also cause gagging and choking. Since the war, unsettled world conditions are undoubtedly reflected on individual persons, and more patients seek advice for indefinite aches and pains than ever before. The growing tensions of every day living are often shown, in our field, by abnormal sensations in the pharynx, such as References 1. Weiss, E., and English, O. S.: Psychosomatic Medicine , Philadelphia, W. B. Saunders Company, 1949. 2. Jacobson, E.: The Physiology of Globus Hystericus , J. A. M. A. 83:911, 1924.Crossref 3. Furstenberg, A. C., and Crosby, E.: Disturbance of the Function of the Salivary Gland , Ann. Otol. Rhin. & Laryng. 54:243, 1945. 4. Lederer, F. L.: Diseases of the Ear, Nose, and Throat , Philadelphia, F. A. Davis Company, 1943. 5. Tremble, G. E.: Hypertrophied Lingual Tonsils , Laryngoscope 67:785, 1957 6. Watson-Williams, E.: Lump in the Throat , Bristol M.-Chir. J. 54:279, 1937. 7. Mills, C. P.: A Lump in the Throat , J. Laryng. 70:530, 1956. 8. Thomson, St. C., and Negus, V. E.: Diseases of the Nose and Throat , Ed. 5, New York, Appleton-Century-Crofts, Inc., 1948, p. 478. 9. Turner, A. L.: Diseases of the Nose, Throat, and Ear , Bristol, John Wright & Sons, Ltd., 1924, p. 118. 10. Lederer, F. L.: Diseases of the Ear, Nose, and Throat , Ed. 5, Philadelphia, F. A. Davis Company, 1946. 11. Thomson, St. C., and Negus, V. E.: Diseases of the Nose and Throat , Ed. 5, New York, Appleton-Century-Crofts, Inc., 1948, p. 479. 12. Hollender, A. R.: The Pharynx , Chicago, The Year Book Publishers, Inc., 1953, p. 290. 13. Hollender, A. R.: The Pharynx , Chicago, The Year Book Publishers, Inc., 1953, p. 504. 14. Lederer, F. L.: Personal communication to the author. 15. Negus, V. E.: Personal communication to the author. 16. Batson, O. V.: The Cricopharyngeus Muscle , Ann. Otol. Rhin. & Laryng. 64:47, 1955. 17. Jackson, C.: Peroral Endoscopy and Laryngeal Surgery , St. Louis, Laryngoscope Co., 1914. 18. Bofenkamp, B.: Aphagia from Poliomyelitis: Treatment by Denervation of the Cricopharyngeus Muscle , Tr. Am. Acad. Ophth. Otolaryng. 61:584, 1957. 19. Negus, V. E.: Affections of the Cricopharyngeal Fold , Laryngoscope 48:847, 1938. 20. Mohun, M.: Globus , Laryngoscope 65:73, 1955. 21. Henry, G. A.: An Objective Approach to the Complaint, Lump in the Throat , Transactions American Triological Society , 1958, pp. 757-767. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

The Clinical Significance of a Lump in the Throat

A.M.A. Archives of Otolaryngology , Volume 70 (2) – Aug 1, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1959.00730040163002
Publisher site
See Article on Publisher Site

Abstract

Abstract At the present time there is a tendency on the part of laryngologists in general to consider any complaint of a lump in the throat by a patient to be functional in origin. The very term globus hystericus itself suggests an anxiety state. According to Weiss and English,1 "The hysterical symptom of swallowing over a lump is one of the most widely recognized indications of nervous illness." Jacobson2 demonstrated with x-ray studies that the sensation of a lump is produced by an esophageal spasm, This spasm, which is the motor expression of an underlying emotional disturbance, may also cause gagging and choking. Since the war, unsettled world conditions are undoubtedly reflected on individual persons, and more patients seek advice for indefinite aches and pains than ever before. The growing tensions of every day living are often shown, in our field, by abnormal sensations in the pharynx, such as References 1. Weiss, E., and English, O. S.: Psychosomatic Medicine , Philadelphia, W. B. Saunders Company, 1949. 2. Jacobson, E.: The Physiology of Globus Hystericus , J. A. M. A. 83:911, 1924.Crossref 3. Furstenberg, A. C., and Crosby, E.: Disturbance of the Function of the Salivary Gland , Ann. Otol. Rhin. & Laryng. 54:243, 1945. 4. Lederer, F. L.: Diseases of the Ear, Nose, and Throat , Philadelphia, F. A. Davis Company, 1943. 5. Tremble, G. E.: Hypertrophied Lingual Tonsils , Laryngoscope 67:785, 1957 6. Watson-Williams, E.: Lump in the Throat , Bristol M.-Chir. J. 54:279, 1937. 7. Mills, C. P.: A Lump in the Throat , J. Laryng. 70:530, 1956. 8. Thomson, St. C., and Negus, V. E.: Diseases of the Nose and Throat , Ed. 5, New York, Appleton-Century-Crofts, Inc., 1948, p. 478. 9. Turner, A. L.: Diseases of the Nose, Throat, and Ear , Bristol, John Wright & Sons, Ltd., 1924, p. 118. 10. Lederer, F. L.: Diseases of the Ear, Nose, and Throat , Ed. 5, Philadelphia, F. A. Davis Company, 1946. 11. Thomson, St. C., and Negus, V. E.: Diseases of the Nose and Throat , Ed. 5, New York, Appleton-Century-Crofts, Inc., 1948, p. 479. 12. Hollender, A. R.: The Pharynx , Chicago, The Year Book Publishers, Inc., 1953, p. 290. 13. Hollender, A. R.: The Pharynx , Chicago, The Year Book Publishers, Inc., 1953, p. 504. 14. Lederer, F. L.: Personal communication to the author. 15. Negus, V. E.: Personal communication to the author. 16. Batson, O. V.: The Cricopharyngeus Muscle , Ann. Otol. Rhin. & Laryng. 64:47, 1955. 17. Jackson, C.: Peroral Endoscopy and Laryngeal Surgery , St. Louis, Laryngoscope Co., 1914. 18. Bofenkamp, B.: Aphagia from Poliomyelitis: Treatment by Denervation of the Cricopharyngeus Muscle , Tr. Am. Acad. Ophth. Otolaryng. 61:584, 1957. 19. Negus, V. E.: Affections of the Cricopharyngeal Fold , Laryngoscope 48:847, 1938. 20. Mohun, M.: Globus , Laryngoscope 65:73, 1955. 21. Henry, G. A.: An Objective Approach to the Complaint, Lump in the Throat , Transactions American Triological Society , 1958, pp. 757-767.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Aug 1, 1959

References