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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Hussain, Akhtar Vallamkondu, Vamsidhar Gatenby, Andrew Shakeel, Muhammad |
| Description | Author Affiliation: Vallamkondu V ( Department of Otolaryngology and Head and Neck surgery, Aberdeen Royal Infirmary, Aberdeen, UK.); Gatenby A ( Department of Otolaryngology and Head and Neck surgery, Aberdeen Royal Infirmary, Aberdeen, UK.); Shakeel M ( Department of Otolaryngology and Head and Neck surgery, Aberdeen Royal Infirmary, Aberdeen, UK.); Hussain A ( Department of Otolaryngology and Head and Neck surgery, Aberdeen Royal Infirmary, Aberdeen, UK.) |
| Abstract | An 81-year-old man was referred urgently to the head and neck clinic with symptoms of worsening dysphagia, dysphonia and weight loss. He had a history of chronic lymphocytic leukaemia. On full ear, nose and throat examination, he was found to have fixed vocal cords with pooling of saliva in the bilateral pyriform fossa. Hypopharyngeal malignancy was suspected and further imaging was performed. Imaging also raised the suspicion of malignancy in the hypopharynx. Rigid endoscopic examination under general anaesthesia was carried out which revealed an impacted denture in the cricopharynx and upper oesophagus. The patient was aware of his loss of dentures 3â months ago (corresponds to the onset of his symptoms) but felt that he had mislaid them and had never mentioned this to anyone. We present a case highlighting a delay in diagnosis, a missed diagnosis on CT scan and an unusual presentation leading to bilateral vocal cord paresis. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2014 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Deglutition Disorders Etiology Dentures Adverse Effects Dysphonia Foreign Bodies Complications Hypopharynx Pathology Vocal Cord Paralysis Vocal Cords Diagnosis Esophagus Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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