A Rare Cause of Dysphonia

Abstract

An 81-year-old man with multiple comorbidities presented with a two-year history of dysphonia. The patient had visited multiple clinics to no avail. He also reported occasional foreign body sensation, which was not bothersome. Besides that, there were no constitutional symptoms, regurgitation, or halitosis. No cough, dysphagia, or neck swelling were mentioned. Examination revealed a hoarse voice with no audible stridor. His vital signs, as well as baseline blood investigations, were within normal parameters. Oral cavity and neck examinations were unremarkable. Valsalva maneuver demonstrated no neck swelling. Flexible nasopharyngolaryngoscopy performed showed mild subcordal edema with no suspicious lesion. Barium swallow demonstrated bilateral outpouching of the hypopharynx, which was larger on the left.