Effects of Therapy of Abnormal Sensation in the Throat.

概要

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A survey was conducted of 201 patients with abnormal sensation in the throat who stopped treatment for various reasons. The respose to therapy and the psychological background were the main focuses. Anxieties about cancer at the first medical examination and desire for treatment for non-cancerous conditions were recorded. The reasons for discontinuing treatment and expectations for help from the staff, etc were considered.1. When treatment was discontinued the intensity of the abnormal sensation was 63% of that recorded at the first examination. The period of ambulatory therapy averaged 3 months.2. The response to therapy was not related to anxiety about cancer. However, the prognosis was better in patients who could ignore symptoms if cancer was ruled out than in those who wanted treatment even though cancer was not present.3. The reasons for discontinuing treatment were closely related to the degree of symptomatic improvement. Remission of symptoms was the reasons for discontinuing treatment in 27.5%; no change in symptoms was the reasons in 10.8%; in a third group some other reasons for discontinuing treatment were noted although the abnormal sensation was 74% as severe as at the first examination.The above results suggest that abnormal sensation in the throat is due to some unknown local and general factors other than psychological.
耳鼻咽喉科臨床学会の論文