Laryngeal Click: A Case Report with an Undescribed Anatomical Cause
DOI:
https://doi.org/10.17533/udea.iatreia.290Keywords:
Dysphonia, Larynx, Spine, Thyroid CartilageAbstract
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.
Downloads
References
(1) Counter RT. A clicking larynx. J Laryngol Otol [Internet]. 1978 Jul;92(7):629-31. https://doi.org/10.1017/S0022215100085868
(2) Saratziotis A, Katsouli G, Mireas G. Clicking larynx syndrome - a diagnostic and surgical challenge. Auris Nasus Larynx [Internet]. 2021 Dec;48(6):1217-1220. https://doi.org/10.1016/j.anl.2020.08.006
(3) Heuveling DA, van-Loon MC, Rinkel RNPM. A clicking larynx: Diagnostic and therapeutic challenges. Laryngoscope [Internet]. 2018 Mar;128(3):697-700. https://doi.org/10.1002/lary.26891
(4) Han CY, Long SM, Parikh NS, Phillips CD, Obayemi A, Yu VX, Banuchi V. Impingement of the Thyroid Cartilage on the Carotid Causing Clicking Larynx Syndrome and Stroke. Laryngoscope [Internet]. 2022 Jul;132(7):1410-1413. https://doi.org/10.1002/lary.29956
(5) Li CX, Hu L, Gong ZC. Reconsideration of hyoid bone syndrome-A case series with a review of the literature. J Stomatol Oral Maxillofac Surg [Internet]. 2023 Feb;124(1):101263. https://doi.org/10.1016/j.jormas.2022.08.006
(6) Ramasamy K, Saniasiaya J. A Throat that Clicks. Iran J Otorhinolaryngol [Internet]. 2021 Jul;33(4):249-251. https://doi.org/10.22038/ijorl.2021.51303.2752
(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
(9) Fischer JL, Montgomery EA, Orestes MI. Anterior Cervical Pain Syndromes: Defining the Patient Population and Approach to Treatments. Cureus [Internet]. 2023 Jun 10;15(6):e40219. https://doi.org/10.7759/cureus.40219
(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
How to Cite
Issue
Section
License
Copyright (c) 2024 Iatreia

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Papers published in the journal are available for use under the Creative Commons license, specifically Attribution-NonCommercial-ShareAlike 4.0 International.
The papers must be unpublished and sent exclusively to the Journal Iatreia; the author uploading the contribution is required to submit two fully completed formats: article submission and authorship responsibility.




