@Callmestar1 I think you need to investigate a rare syndrome called “Clicking Hyoid Bone” or “Clicking larynx syndrome”. This clicking sound was apparently by friction between Enlarged Hyoid Bone Horn (Cornua) and Cervical Vertebrae. This is what causes the pain and sound when swallowing and it can be heard as well according to this papers. There are few cases in the literature of this type of rare disease. This causes extreme depression as well since it is rare and hard to diagnose it. I warn you the first paper contains some surgical pictures.
Abstract
Painful conditions of unexplained origin pose a challenging task for the clinician from both the diagnosis and treatment perspective. This might be accounted due to overlapping symptomatology; moreover, nonspecific subjective findings push the diagnostic process to a more perplexing direction. The main loophole in their management lies in difficulty to make an appropriate diagnosis. Clicking hyoid is an extremely rare anomaly of hyoid bone which produces painful clicking in throat. Here, we report a case of a young patient presented with pain and clicking in throat which aggravated on swallowing. After a series of examinations, it was diagnosed as clicking hyoid and was managed successfully by surgical treatment. The objective of this article is not only to increase awareness of the ailment so as to validate its existence but also demonstrate the significant utility of the surgical management.
Source : Clicking hyoid: A rare case report and review - PMC
Abstract
When swallowing, a clicking in the throat may uncommonly occur, causing great discomfort and pain. This unpleasant event may lead health professionals to attribute the symptoms to psychogenic aetiology. The case of a 49-year-old female is presented, who reported an audible bilateral clicking in the throat, associated with neck and throat pain when swallowing or turning her neck. From the ENT examination and palpation of the neck during patient swallowing, we located the source of the clicking on the left. However, during palpation from side to side, the patient suffered bilateral pain. Laryngeal computed tomography with a 3D reconstruction showed a short distance between the hyoid bone and the superior part of the thyroid cornua, accompanied by posterior-medially displaced bilateral superior cornua in the thyrohyoid region. The bilateral sensation of throat pain during swallowing or palpation, in combination with our desire to maintain laryngeal symmetry , led us to a two-sided exeresis of the superior thyroid cornua.
This resulted in immediate and complete relief of the symptoms. Although it is an uncommon complaint, clicking larynx syndrome should be considered as a differential diagnosis.
Source : https://www.sciencedirect.com/science/article/abs/pii/S0385814620302091
Source : https://www.uclahealth.org/head-neck-surgery/workfiles/Laryngeal%20Voice%20Research/Articles/2001%20Smith%20Clicking%20in%20the%20throat.pdf
PDF Version : 2001 Smith Clicking in the throat.pdf (157.3 KB)