Published in:
01-10-2021 | Dysphagia | Clinical Conundrum
An Unusual Cause of Dysphagia
Published in: Dysphagia | Issue 5/2021
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A 76-year-old man, with no addiction presented to the otorhinolaryngology outpatient clinic with a two-year history of foreign body sensation in throat, mild dysphagia only for solids, and change in voice. On flexion of neck he also had difficulty in breathing. There was no associated regurgitation of food, excessive coughing, or weight loss. Physical and fiberoptic examination revealed a mucosa-covered bulge over posterior pharyngeal wall extending above the level of epiglottis to level of arytenoids below (Fig. 1, video 1). Lateral cervical radiograph is shown in Fig. 2.
Fig. 1
Endoscopic image showing bulge in the posterior pharyngeal wall in neutral neck position causing partial obstruction of airway lumen
Fig. 2
Lateral cervical radiograph showing anterior flowing osteophytes from C3 to D1 vertebrae in extension and flexion of neck causing luminal airway compromise (arrow)
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