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Relationship between thyroid pathology and globus pharyngeus. Does thyroidectomy cause globus symptoms or improve it ? a preliminary study
Other Title(s)
العلاقة بين تضخم الغدة الدرقية و الكرة البلعومية "آلام الحلق الكاذبة". هل عملية استئصال الغدة الدرقية يسبب هذه الأعراض أم يحسنها ؟
Joint Authors
Awad, Muhammad Sulayman
Abd al-Jalil, Ahmad Abu al-Wafa
Shihadah, Abd
Source
Issue
Vol. 32, Issue 2 (31 May. 2008), pp.115-120, 6 p.
Publisher
Assiut University Faculty of Medicine
Publication Date
2008-05-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract AR
كان الغرض من هذه الدراسة معرفه معدل حدوث الام الحلق بين مرضى تضخم الغده الدرقية و كذلك معرفه ما اذا كانت عمليه استئصال الغده الدرقية تسبب أي تحسن من هذه الاعراض.
و قد اجريت هذه الدراسة على 30 مريضا ممن ستجرى لهم عمليه استئصال الغده الدرقية لأسباب مختلفة.
و قد تم ملء نموذج مقياس جلاسكو – ادنبرة للحلق لكل مريض قبل العملية و بعد العملية بثلاث و سته اشهر.
و تم اجراء اشعه مقطعيه واشعه بالصبغة المريء (باريوم) للمرضى الذين يعانون من مثل هذه الاعراض.
و قد كان هناك 7 مرضى لديهم هذه الاعراض لمده زمنيه تتراوح ما بين 3 اشهر الى 10 سنوات (متوسط 30.5 شهر).
و قد كان اشهر هذه الاعراض هو "وجود شيء ما يلتصق بالحلق " و" انزعاج و تهيج بالحلق " في اربعه مرضى.
و قد تحسن خمسه مرضى بعد ثلاث اشهر و تحسن المريضان الاخيران بعد 6 اشهر.
و قد هناك زياده لإفراز الغده الدرقية في ثلاث مرضى في حين كان الافراز طبيعي في الأربعة الاخرين.
و لم توجد علامات غير طبيعيه في اشعه الصبغة او في الأشعة المقطعية "ما عدا تضخم الغده الدرقية".
و نخلص من هذه الدراسة الى ان تضخم الغده الدرقية قد يسبب اعراض "الكره البلعومية".
و لكن يجب ان تجري الفحوصات الكافية لكل مريض بهذه الاعراض و تعتبر اشعه المريء اقل ما يجب عمله من تلك الفحوصات.
كما نخلص ايضا اليه ان عمليه استئصال الغده الدرقية لا تسبب "الكره البلعومية" بل تحسنها.
Abstract EN
Objectives: The first aim of this study is to detect the frequency of globus symptoms in patients with thyroid pathologies who will be subjected for thyroidectomy.
The second aim is to know if thyroidectomy can cause or improve these symptoms. Patients and methods: Thirty patients with thyroid pathology who were scheduled for thyroidectomy were included in our study.
Glasgow-Edinburgh Throat Scale was filled for each patient preoperatively, and 3 months and 6 months postoperatively.
Computerized tomographic scanning of the neck and barium swallow were done for patients who have globus symptoms. Results: Seven patients had globus positive symptoms preoperatively.
The duration of symptoms varied between 3 months and 10 years (mean 30.5 months).
The commonest throat specific symptom were "feeling of something stuck in the throat" and "discomfort/ irritation in the throat" in 4 patients.
The remaining 3 patientsJ symptoms are "feeling of something stuck in the throat" and "pain in the throat".
Three months postoperatively, 5 patients improved completely from throat specific symptoms.
The remaining two patients improved six months postoperatively.
The 2 somatic stress symptoms improved after 6 month.
Four patients with positive symptoms were euthyroid and three were hyperthyroid patients.
None of the operated patients developed globus symptoms.
Barium swallow and CT findings (apart from details of the thyroid gland) were normal. Conclusion: Thyroid pathologies can cause globus symptoms.
However, any patient with goitre and is suffering from these symptoms must be thoroughly investigated to rule out any sinister pathology before considering goitre as a cause.
Barium swallow is the least to be done to exclude other pathologies, we can also conclude that thyroidectomy does not cause globus symptoms but rather improves it.
American Psychological Association (APA)
Abd al-Jalil, Ahmad Abu al-Wafa& Shihadah, Abd& Awad, Muhammad Sulayman. 2008. Relationship between thyroid pathology and globus pharyngeus. Does thyroidectomy cause globus symptoms or improve it ? a preliminary study. Assiut Medical Journal،Vol. 32, no. 2, pp.115-120.
https://search.emarefa.net/detail/BIM-30525
Modern Language Association (MLA)
Abd al-Jalil, Ahmad Abu al-Wafa…[et al.]. Relationship between thyroid pathology and globus pharyngeus. Does thyroidectomy cause globus symptoms or improve it ? a preliminary study. Assiut Medical Journal Vol. 32, no. 2 (May. 2008), pp.115-120.
https://search.emarefa.net/detail/BIM-30525
American Medical Association (AMA)
Abd al-Jalil, Ahmad Abu al-Wafa& Shihadah, Abd& Awad, Muhammad Sulayman. Relationship between thyroid pathology and globus pharyngeus. Does thyroidectomy cause globus symptoms or improve it ? a preliminary study. Assiut Medical Journal. 2008. Vol. 32, no. 2, pp.115-120.
https://search.emarefa.net/detail/BIM-30525
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 120
Record ID
BIM-30525