关键词: 咽, 骨质增生, 吞咽障碍, 颈椎

Abstract: Objective To reduce the occurrence of misdiagnosis of laryngopharyngeal masses by clinicians, reduce the mental and economic burden of patients, and avoid excessive diagnosis and treatment. Methods Clinical data of 20 cases of dysphagia in outpatient department of Otolaryngology and Neurology were retrospectively analyzed. Patients were given neurological and otolaryngological physical examination, magnifying laryngoscope, neck and head CT (computed tomography)scan. Results There were no obvious abnormalities in neurological examination in 20 cases. Under magnifying laryngoscope, the posterior pharyngeal wall mucosa was protruded forward, and the anterior edge of cervical vertebral body was protruded forward on CT scan. After more than one year of clinical follow-up, no significant increase in dysphagia symptoms was observed in 20 patients. Conclusion It is found that cervical hyperplasia can lead to dysphagia, which is easily misdiagnosed as laryngopharyngeal mass. Comprehensive and meticulous neurological system and otolaryngology head and neck surgical examination should be performed, combined with magnifying laryngoscope and neck CT scan to make a definite diagnosis.

Key words: pharynx, hyperostogeny, deglutition disorders, cervical vertebrae