Pharyngeal dysphagia may be due to different etiologies. But the commonest causes are neurological, and secondary to head and neck cancer treatments. Various stages of pharyngeal phase of swallowing can be affected. Understanding the pathophysiology and managing accordingly is the key to success. Proper history taking, clinical and instrumental evaluation are the important methods to diagnose the dysfunction. Flexible endoscopic evaluation of swallowing (FEES) and Video fluoroscopy (VFS) are the most commonly used instrumental evaluation techniques. Management includes alternative methods of swallowing, prevention of aspiration, swallowing therapy and interventional management.
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