Anterior neck pain often presents a challenging problem for the otolaryngologist because of the various causes. We report an unusual case of an asymmetric hyoid bone impinging on the carotid sheath with resulting pain on head rotation. Although rare, awareness of this condition is vital in successful treatment as surgical intervention provides immediate and long-term resolution of the symptoms.
Figure. Axial computed tomography. A and B, The close association of the right greater cornu of the hyoid bone (arrows) and the right carotid sheath. The right hyoid bone is seen wrapping around the carotid sheath.
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