Laryngeal Click: A Case Report with an Undescribed Anatomical Cause

Authors

DOI:

https://doi.org/10.17533/udea.iatreia.290

Keywords:

Dysphonia, Larynx, Spine, Thyroid Cartilage

Abstract

Introduction: Laryngeal click is a rare phenomenon largely unknown to physicians in general. There are approximately 20 cases reported in the literature, with the first report described by Counter in 1978. It presents as a click in the neck due to anatomical changes in the larynx. It can lead to repeated medical consultations and cause psychological symptoms, affecting quality of life, as patients are unaware of the benign nature of their condition.
Objectives: The aim is to increase awareness of this condition to better manage patients with this rare symptomatology and highlight the importance of its diagnosis.
Methods: We present a case of bilateral laryngeal click syndrome associated with tension dysphonia, where the inferior horn of the thyroid cartilage directly impacted the vertebral body, being, to our knowledge, the first report with this mechanism.
Results: There are few reported cases with anatomical alterations different from the one presented in this article. A comprehensive and integrated approach should be taken to determine the anatomical causes and possible treatment options.
Conclusions: It is important to be aware of this condition to perform comprehensive assessments and, depending on the etiology of the disease, offer therapeutic options to the patient.

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Author Biographies

Luis Humberto Jiménez-Fandiño, Hospital Universitario San Ignacio. Pontificia Universidad Javeriana.  Bogotá, Colombia

Laryngologist, head of the Otorhinolaryngology and Maxillofacial Surgery Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogotá, Colombia.

Mariana Carolina Castellanos-Acevedo, Pontificia Universidad Javeriana. Bogotá, Colombia

Otolaryngology resident, Pontificia Universidad Javeriana. Bogotá, Colombia.

Carlos Alberto Restrepo-Chamorro, Universidad Nacional de Colombia. Bogotá, Colombia

Otolaryngology resident, Universidad Nacional de Colombia. Bogotá, Colombia.

References

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(7) Njoum Y, Obeid A, AbuKeshek T, Maree M. The first reported case of clicking larynx syndrome complicating thyroidectomy due to papillary thyroid cancer. Int J Surg Case Rep [Internet]. 2023 Jul;108:108443. https://doi.org/10.1016/j.ijscr.2023.108443

(8) Suto A, Ueha R, Ogura T, Maeda E, Tatebayashi M, Shimada D, et al. Swallowing computed tomography and virtual reality as novel imaging modalities for the diagnosis of clicking larynx: Two case reports. Auris Nasus Larynx [Internet]. 2023 Jun;50(3):468-472. https://doi.org/10.1016/j.anl.2022.03.018

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(10) Smith ME, Berke GS, Gray SD, Dove H, Harnsberger R. Clicking in the throat: cinematic fiction or surgical fact? Arch Otolaryngol Head Neck Surg [Internet]. 2001 Sep;127(9):1129-31. https://doi.org/10.1001/archotol.127.9.1129

Published

2024-08-01

How to Cite

1.
Jiménez-Fandiño LH, Castellanos Acevedo MC, Restrepo Chamorro CA. Laryngeal Click: A Case Report with an Undescribed Anatomical Cause. Iatreia [Internet]. 2024 Aug. 1 [cited 2026 Feb. 21];38(3). Available from: https://revistas.udea.edu.co/index.php/iatreia/article/view/354544

Issue

Section

Case reports