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An unusual pharyngeal mass.
Michael Couzins1, Hirotaka Ishii1, Matthew J Ward1
1Department of ENT Surgery, Salisbury District Hospital, Salisbury, Wiltshire, UK.
BMJ Case Reports
|July 8, 2015
Summary
A hyoid bone fracture, caused by strangling maneuvers in Jujitsu, presented as a pharyngeal mass. Surgical correction resolved the symptoms, emphasizing the need for diagnosing this rare injury.
Area of Science:
- Otolaryngology
- Sports Medicine
- Trauma Surgery
Background:
- Abnormal pharyngeal sensation can indicate underlying structural abnormalities.
- Hyoid bone fractures are rare but clinically significant injuries.
- Certain sports involving physical contact may pose risks for neck trauma.
Observation:
- A 37-year-old male patient reported abnormal pharyngeal sensation.
- Nasendoscopy revealed a left pharyngeal wall mass, reducible with external pressure.
- CT imaging identified a hyoid bone fracture.
Findings:
- The patient's history revealed participation in Jujitsu, a martial art with strangling techniques.
- Pharyngoscopy and surgical out-fracturing of the hyoid bone led to complete symptom resolution.
- The case highlights the diagnostic challenges and importance of identifying hyoid fractures.
Implications:
- Early diagnosis and management of hyoid fractures are crucial to prevent complications.
- Awareness of potential neck trauma in contact sports is important for athletes and clinicians.
- This case underscores the need for thorough evaluation of pharyngeal symptoms, considering potential hyoid bone injury.
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