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Oropharyngeal dysphagia as an uncommon manifestation of an osteoarticular disease
  1. Joana Maria Soares Ferreira,
  2. Pedro Oliveira,
  3. Antonio Faria Almeida and
  4. Artur Condé
  1. Department of Otolaryngology, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal
  1. Correspondence to Dr Joana Maria Soares Ferreira, joana_msf{at}


We report a case of a 76-year-old Caucasian woman who was referred to our department due to progressive dysphagia. We performed a flexible nasofibrolaryngoscopy that demonstrated the presence of a non-pulsatile mass in the right posterior wall of the hypopharynx. Cervical CT scan revealed that the mass represented a bulging of the hypopharynx wall produced by osteophytes along the cervical segment (C3–C4 and C4–C5) of the rachis. The patient was successfully treated with conservative measures with progressive improvement of dysphagia. This case highlights that anterior cervical osteophytosis should be included in the differential diagnosis of oropharyngeal dysphagia.

  • ear, nose and throat/otolaryngology
  • medical management
  • physiotherapy (rehabilitation)
  • rheumatology
  • orthopaedics

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  • Contributors All authors, including JMSF, PO, AFA and AC, contributed to the planning, conduction and reporting of the work described in the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.