{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T03:48:41Z","timestamp":1774583321339,"version":"3.50.1"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Ear Nose Throat"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p> Post-operative dysphagia is the most common complication following anterior cervical discectomy and fusion (ACDF), with reports varying from 1% to 79%. We report a case of a 63-year-old female patient complaining of dysphagia presenting 9\u2009years post surgery. The cause of dysphagia is often multifactorial with the true aetiology poorly understood. One potentially life-threatening cause of post-operative dysphagia is hardware migration associated with pharyngoesophageal perforation. This patient presents a unique case of a conservatively managed hardware migration with delayed onset dysphagia after 8\u2009years of minimal symptoms. On further investigation, barium swallow identified a freely mobile screw in the oesophageal submucosa, rotating on swallowing. Retrieval of the screw was achieved transcervically with no visible perforation and resolution of dysphagia occurred 1\u2009week post-operatively. Understanding the aetiology with early diagnosis and appropriate management of delayed hardware migration are paramount in reducing patient morbidity and potential life-threatening otolaryngologic complications. <\/jats:p>","DOI":"10.1177\/1179550619881131","type":"journal-article","created":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T09:14:11Z","timestamp":1570785251000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Late-Onset Dysphagia From Hardware Migration After Anterior Cervical Discectomy and Fusion: An Unusual Cause and Review of Literature"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3671-8247","authenticated-orcid":false,"given":"Callum","family":"Fryer","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head & Neck Surgery, Sir Charles Gairdner Hospital, Nedlands, WA, Australia"},{"name":"School of Medicine, The University of Notre Dame Australia, Fremantle, WA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsern Ern","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head & Neck Surgery, Sir Charles Gairdner Hospital, Nedlands, WA, Australia"},{"name":"Faculty of Health and Medical Sciences, The University of Western Australia, Nedlands, WA, Australia"},{"name":"Ear Sciences Centre, School of Medicine, The University of Western Australia, Nedlands, WA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roshitha","family":"Bakmeedeniya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Sir Charles Gairdner Hospital, Nedlands, WA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter Leon","family":"Friedland","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head & Neck Surgery, Sir Charles Gairdner Hospital, Nedlands, WA, Australia"},{"name":"School of Medicine, The University of Notre Dame Australia, Fremantle, WA, Australia"},{"name":"Faculty of Health and Medical Sciences, The University of Western Australia, Nedlands, WA, Australia"},{"name":"Ear Sciences Centre, School of Medicine, The University of Western Australia, Nedlands, WA, 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