Dysphagia after strangulation

September 7, 2012
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Laryngoscopic Clinic

Patients with an isolated cornu fracture can be asymptomatic in the acute setting, only to develop symptoms of chronic odynophagia and globus sensation months after the inciting injury.

     A 64-year-old man presented with a 3-month history of dysphagia and cough. His symptoms began when he was physically assaulted by strangulation. He reported tenderness on palpation of the left jugulodigastric area. Nasopharyngolaryngoscopy revealed that a submucosal structure had contacted the aryepiglottic fold and displaced the left piriform sinus anteromedially (figure, A). Computed tomography (CT) of the neck and a barium swallow examination both failed to demonstrate the abnormality.

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CitationEar Nose Throat J. 2012 September;91(9):E30-E31