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In our patient, the hypopharyngeal soft tissue distortions created by the bony hypertrophy shifted the clinicoradiological suspicion towards malignant pathology. The current case presents the diagnostic dilemma associated with the disease and the need to keep the possibility of severe cervical bony hypertrophy as a cause of upper aerodigestive symptoms in mind.<\/jats:p>","DOI":"10.1136\/bcr-2021-243060","type":"journal-article","created":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:16:42Z","timestamp":1622679402000},"page":"e243060","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Unusual cause of dysphagia and dysphonia"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9893-7106","authenticated-orcid":false,"given":"Anup","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaurav","family":"Khatri","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, Medanta The Medicity, Gurgaon, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumud Kumar","family":"Handa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Head and Neck Surgery, Medanta The Medicity, Gurgaon, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,2]]},"reference":[{"key":"2025082800244406000_14.6.e243060.1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.5935\/1808-8694.20140033","article-title":"Forestier's disease and its implications in otolaryngology: literature review","volume":"80","author":"Pulcherio","year":"2014","journal-title":"Braz J Otorhinolaryngol"},{"key":"2025082800244406000_14.6.e243060.2","doi-asserted-by":"publisher","DOI":"10.1007\/s002560050225"},{"key":"2025082800244406000_14.6.e243060.3","doi-asserted-by":"publisher","DOI":"10.1148\/119.3.559"},{"key":"2025082800244406000_14.6.e243060.4","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1258\/0022215001904950","article-title":"The management of dysphasia in skeletal hyperostosis","volume":"114","author":"Akhtar","year":"2000","journal-title":"J Laryngol Otol"},{"key":"2025082800244406000_14.6.e243060.5","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/j.jbspin.2013.02.011","article-title":"Diffuse idiopathic skeletal hyperostosis (Forestier-Rotes-Querol disease): what's new?","volume":"80","author":"Mazi\u00e8res","year":"2013","journal-title":"Joint Bone Spine"},{"key":"2025082800244406000_14.6.e243060.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2011.02.015"},{"key":"2025082800244406000_14.6.e243060.7","doi-asserted-by":"crossref","first-page":"NA","DOI":"10.1002\/hed.21226","article-title":"Anterior cervical osteophyte dysphagia: manofluorographic and functional outcomes after surgery","volume":"32","author":"Ozgursoy","year":"2010","journal-title":"Head Neck"},{"key":"2025082800244406000_14.6.e243060.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1133-3"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243060","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:24:56Z","timestamp":1756365896000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":8,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,6,2]]},"published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1136\/bcr-2021-243060"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243060","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}