Cricoid and cervical osteophytes causing dysphagia: an extremely rare and interesting case

Gupta, Puneet; Mahajan, Manik; Sharma, Praveen; Khurana, Arti; Bhasin, Indu

doi:10.1590/0100-3984.2016.0100

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Gupta et al justified, that barium swallow revealed smooth extrinsic indentation in the esophagus at the level of osteophytes. The difficulty in swallowing was attributed to the compression of the esophagus by the cricoid and cervical osteophytes [ 14 ]. We believe that such diagnostics may be important in the presence of short circuits at multiple levels and diagnostic difficulties, in which place the largest esophageal stenosis occurs.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of diffuse idiopathic skeletal hyperostosis of cervical spine with dysphagia – Case report

Dąbrowski

Sulewski

Kaczmarczyk

et al. 2020

Annals of Medicine and Surgery

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Introduction Diffuse idiopathic skeletal hyperostosis of cervical spine can lead to dysphagia. Presentation of case A 73-year-old male weighing 110 kg and diagnosed with diffuse idiopathic skeletal hyperostosis in cervical spine with dysphagia. Patient manifested local pain of neck, a gradual limitation of spinal mobility. The surgery decision was based on swallowing problems, not pain in the spine. Before surgery radiographs, magnetic resonance images, computed tomography of the cervical spine and gastroscopy were obtained. Osteophytes were removed from the anterior approach with present otolaryngologist by surgery. Discussion In this case used gastroscopy, CT and MRI for diagnostics. During the procedure we had support otolaryngologist. The patient has not been found a stenosis spinal canal and neurological symptoms. We were removed the ostheophytes. Interbody implants have not been applied. Conclusion Disc degeneration disease itself can be asymptomatic or not a dominant problem for the DISH patients. Clinical signs may pharyngoesophageal and tracheal compression, causing dysphagia, shortness of breath and stridor. In this case, the cervical spine was stability and not demonstrated a stenosis in the spinal canal. Isolate removing of the osteophytes without implants in DISH of cervical spine can be enough solution.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of diffuse idiopathic skeletal hyperostosis of cervical spine with dysphagia – Case report

Dąbrowski

Sulewski

Kaczmarczyk

et al. 2020

Annals of Medicine and Surgery

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“…Although spinal osteophytes are common, occurring in one in every five elderly patients, less than 1% of osteophytes lead to dysphagia. [1][2][3][4][5] This case illustrates how a thorough investigation is essential to evaluate the cause of dysphagia. The patient is currently being managed through a conservative approach due to personal preference.…”

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confidence: 98%

A Curious Case of Dysphagia Due to Osteophytes

2022

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Cervical osteophytosis and spine posture: contribution to swallow disorders and symptoms

Abdel‐Aziz¹,

Azab

El-Badrawy³

2018

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review The article reviews the effects of cervical osteophytosis and spine posture on swallowing, and how they can cause dysphagia. Recent findings Cerivical osteophytosis which is a bony overgrowth of the cervical spines, it affects the swallowing through different mechanisms, including direct mechanical compression of the pharynx and esophagus, disturbances of normal epiglottic tilt over the inlet of the larynx by the osteophytes at C3–C4 level, inflammatory reactions in the tissues around the esophagus and cricopharyngeal spasm. Also, cervical spine posture in normal individuals could affect the swallowing mechanism by disturbance of the sphincteric action of the larynx and upper esophageal sphincter. Summary Cervical osteophytosis and abnormal cervical curvature may be overlooked by the Otolaryngologists as causes of swallowing disorders. The diagnosis is usually confirmed by radiologic study for the cervical spine. Cervical abnormality should be kept in mind while we are investigating patients with swallowing problem, and postural modification may help in treatment of such cases.

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Cricoid and cervical osteophytes causing dysphagia: an extremely rare and interesting case

Cited by 3 publications

References 7 publications

Surgical treatment of diffuse idiopathic skeletal hyperostosis of cervical spine with dysphagia – Case report

Surgical treatment of diffuse idiopathic skeletal hyperostosis of cervical spine with dysphagia – Case report

A Curious Case of Dysphagia Due to Osteophytes

Cervical osteophytosis and spine posture: contribution to swallow disorders and symptoms

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