The diagnosis and management of globus: a perspective from Spain.

PURPOSE OF REVIEW: This article reviews literature on the diagnosis and management of globus. The maneuver of pulling the tongue forward is important in the diagnosis.

RECENT FINDINGS: In some patients, physical examination will reveal findings that could be a possible cause of globus. The more frequent findings are tongue base hypertrophy and uvula hypertrophy. In these selected patients, surgical treatment such as partial epiglottectomy or uvulectomia can be offered. Treatment with a proton-pump inhibitor will be useful in some patients with globus.

SUMMARY: The diagnosis of globus must be carried out by exclusion with an exhaustive clinical exploration of some anatomical factors that could result in surgical treatment.