BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7337.613 (Published 09 March 2002) Cite this as: BMJ 2002;324:613

Causes of high dysphagia should be assessed by ENT surgeons

  1. Kerry Haddow (kerryhaddow@hotmail.com), specialist registrar,
  2. Gillian M MacDougall, consultant,
  3. Malcolm A Buchanan, senior house officer
  1. Department of Otorhinolaryngology, City Hospital, Edinburgh EH10 5SB
  2. Radcliffe Infirmary, Oxford OX2 6HE

    EDITOR—There are serious omissions in the section on high dysphagia in Owen's article on dysphagia.1 It seems ill considered to discuss the causes of upper oesophageal dysphagia without proper consideration of the possibility of head and neck malignancy. We acknowledge that the possibility of oesophageal malignancy is mentioned in the accompanying box, but no mention is made of head and neck cancer in the main text.

    The incidence of head and neck cancer is increasing.2 Most patients with such cancer present with a …

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