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Beschwerden beim Leerschlucken weisen auf einen Globus pharyngis hin. Schluckst\u00f6rungen k\u00f6nnen einzelne oder alle Phasen des Bolustransports betreffen. Die Ursachen sind vielf\u00e4ltig, weil der Schluckvorgang die Integrit\u00e4t komplexer Steuerungsareale im Gehirn und der peripheren sensorisch-neuromuskul\u00e4ren Strukturen erfordert. Die Diagnostik besteht aus Anamnese, Screeningb\u00f6gen, Frageb\u00f6gen und der flexiblen (video)endoskopischen Schluckdiagnostik als Goldstandard. Flankierend sind u.\u202fa. elektrophysiologische Diagnostik und Videofluoroskopien. Die HNO-\u00e4rztliche Herausforderung ist bei der operativen Tumorbehandlung im Bereich der oberen Schluckstra\u00dfe der m\u00f6glichst gro\u00dfe Erhalt der schluckrelevanten Strukturen und posttherapeutisch die Option zu individuellen chirurgischen Ma\u00dfnahmen f\u00fcr die Schluckverbesserung. 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