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As globus sensation is a symptom, a diagnosis of globus pharyngis is typically a diagnosis of exclusion.If globus sensation is presenting with other symptoms such as pain, swallowing disorders such as aspiration or regurgitation (dysphagia), weight loss, or voice change, [10] an organic cause needs to be investigated, typically with endoscopy.
Vocal cord paresis, also known as recurrent laryngeal nerve paralysis or vocal fold paralysis, is an injury to one or both recurrent laryngeal nerves (RLNs), which control all intrinsic muscles of the larynx except for the cricothyroid muscle.
The palatal or palato-alveolar clicks are a family of click consonants found, as components of words, only in southern Africa. The tongue is nearly flat, and is pulled back rather than down as in the postalveolar clicks, making a sharper sound than those consonants.
A voiceless nasal back-released velar click [ʞ] is used throughout Africa for backchanneling. This sound starts off as a typical click, but the action is reversed and it is the rear velar or uvular closure that is released, drawing in air from the throat and nasal passages.
The recurrent laryngeal nerves branch off the vagus, the left at the aortic arch, and the right at the right subclavian artery. The left RLN passes in front of the arch, and then wraps underneath and behind it. After branching, the nerves typically ascend in a groove at the junction of the trachea and esophagus.
Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
The upper lip ; The upper teeth, either on the edge of the teeth or inner surface ; The alveolar ridge, the gum line just behind the teeth ; The back of the alveolar ridge (post-alveolar) The hard palate on the roof of the mouth ; The soft palate further back on the roof of the mouth
Vocal fold tissue can be preserved during surgery by raising a micro-flap, removing the cyst, then laying the flap back down. [15] This is intended to lead to minimal scarring and improved voice function. [15] However, if any epithelium from the cyst sac is left behind during surgery, the cyst may regrow. [8]