Acute laryngeal dyspnoea revealing anterior cervical hyperostosis (Forestier’s disease)

Cervical hyperostosis can cause acute laryngeal dyspnoea through mechanical compression and associated oedema.The combination of an acute inflammatory process and pre-existing recurrent paralysis exacerbates the severity of the clinical picture.Cervicothoracic imaging and nasofibroscopy are essential for establishing the diagnosis and guiding management.