咽喉頭異常感症患者の咽頭所見

概要

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Recurrent sore throats are common in patients with abnormal sensation in the throat, perhaps because abnormal sensation is caused mainly by local inflammatory changes.In order to test this hypothesis, the authors evaluated clinically the inflammatory changes of the palatine tonsils, posterior oropharyngeal wall, lateral pharyngeal band and lingual tonsils in 208 patients (85 males and 123 females, 17 to 84 years of age) with abnormal sensation in the throat (AST group) and compared them with 350 patients (167 males and 183 females, 14 to 85 years of age) who had never complained of abnormal sensation (control group).1. AST group had a significantly higher incidence of recurring sore throat.2. Tonsillitis, hyperemic palatine tonsils, hyperemic posterior oropharyngeal wall and hyperemic lateral pharyngeal band were found somewhat or significantly more often in the AST group.3. Hypertrophy of the palatine and lingual tonsils was not significantly different in the two groups.These results indicate that chemical stimulation by unknown substances produced in inflamed tissues may be more important in eliciting the abnormal sensations in the throat than mechanical stimulation by hypertrophic organs.
耳鼻咽喉科臨床学会の論文