Superior thyroid cornu syndrome: an unusual cause of cervical dysphagia

The Annals of Otology, Rhinology, and Laryngology
Melissa MortensenPeak Woo

Abstract

Ossification of a superior thyroid cornu in men may cause pharyngeal airway impingement and result in cervical dysphagia. We report on a clinical case series of this rare condition, called superior thyroid cornu syndrome. This is the first report of a case series of this entity as a possible cause of cervical dysphagia that was successfully treated with an endoscopic procedure. A clinical case series of 12 patients were identified as having superior thyroid cornu syndrome (years 2001 to 2006). Eleven patients were male and 1 was female; their mean age was 54.6 years. They complained of unresolved throat pain, difficulty swallowing, and/or pain on swallowing. On flexible laryngoscopy, there was an asymmetric indentation of the pharynx due to a prominent superior thyroid cornu. Laryngeal manipulation produced the pain and exposed the prominent cornu in the airway. Computed tomographic evidence of calcification of the superior thyroid horn without other abnormality was noted. After maximal medical treatment with proton pump inhibitors, anti-inflammatory agents, nasal steroids, antihistamines, and/or other allergy treatments, 8 of the patients who had persistent symptoms were treated by transoral pharyngotomy and resection of an ap...Continue Reading

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Citations

Sep 11, 2014·Dysphagia·Jay AgarwalCarlos D Pinheiro-Neto
Aug 31, 2016·Surgical and Radiologic Anatomy : SRA·Thomas ShiozawaB Hirt
Mar 30, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Venkatraman Indiran
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Peng-long Song, Ning-yu Wang
May 23, 2018·Surgical and Radiologic Anatomy : SRA·Miroslav RadunovicNemanja Radojevic
Sep 15, 2020·Ear, Nose, & Throat Journal·Jenna BriddellMatthew Nagorsky
Dec 3, 2020·The Laryngoscope·Jesse L SchmidCraig A Bollig
Aug 6, 2021·Laryngo- rhino- otologie·Christoph A Reichel
Sep 2, 2020·Auris, Nasus, Larynx·Athanasios SaratziotisGeorge Mireas

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