We present a previously undescribed variation in the anatomy of the superio
r cornu of the thyroid cartilage. In the five cases described, the tip of t
he cornu turned medially and caused an indentation into the pharynx. These
indentations were symptomatic and caused pain and globus sensation. Resecti
on of them led to resolution of the symptoms. A survey of the incidence of
this variation of the thyroid cartilage in a clinic population is presented
. (C) 2000 Wiley-Liss, Inc.