Abstract
The authors have been investigating the psychosomatic relationship between the patients complained of unusual sensation arising in the pharyngolarynx and the autonomic nervous function of these patients. In the present study 90 patients were carefully examined their pharynx and larynx, and mecholyl test, psychological tests i. e. Cornnel medical index and Yatabe-Gilford test were performed on the patients.
The result was that 73.3% of the patients showed N-type, 16.6% showed P-type and 10.0% showed S-type. Thirty-four per cent of all patients showed inflammatory changes in the pharygolarynx and a large number of them were included in N-type, while the patients with P-type scarcely showed inflammation of the pharynx or larynx and they have a tendency of neurotic pattern on the psychological test. These patients were effectively treated with autonomic nerve blocking agenst and psychiatric treatments.
Most of the patients of N-and S-type were treated and responded well to local treatment but recovery of the patients of N-type was rather delayed than that of those with other types. The pharygolaryngeal appearance of those with N-type showed a mild degree of chronic inflammation which is hardly responded to the local treatment but must be cured by a vigorous remedy.
The patients of S- or P-type must be treäted by the laryngologist who has in mind the psychosomatic consideration and the patients will recover from their ailment by an adequate adjustment of the autonomic nervous dysfunction and psychiatric management.
