Objectives: To define the role of epiglottic anteversion
in the etiology of globus pharyngeus, and the
to search the effectiveness of laser partial epiglottectomy
in its treatment.
Patients and Methods: Four patients, who had
admitted to our clinic between 2001 and 2003 with the
complaint of GP, had undergone laryngoscopic examination.
They revealed a structurally anteverted
epiglottis which was in contact with tongue base and
vallecula. After ruling out the etiologic factors of GP,
these patients were operated under general anesthesia
and laser partial epiglottectomy was carried out. In
this procedure, the part of epiglottis 1 cm from the free
margin which forms the contact points with tongue
base and vallecula, was excised with laser.
Results: Three patients were symptom-free totally,
while one patient reported a partial cure.
Conclusion: Epiglottic anteversion should be kept
in mind in the etiology of GP. Laser partial epiglottectomy
may be helpful in the treatment of selected
FREE FULL TEXTAnahtar Kelimeler: Epiglot anteversiyonu, globus faringeus,cerrahi tedavi, lazer parsiyel epiglottektomi.