Anterior cervical osteophytes resulting in severe dysphagia and aspiration: two case reports and literature review

Abstract

In patients with anterior cervical osteophytes, surgical treatment is indicated only for selected cases with large, bony osteophytes and severe symptoms.

Dysphagia Due to Forestier Disease: Three Cases and Systematic Literature Review

“…Eight cases were reported from eastern Asia, four each from Japan and Korea [24][25][26][27][28][29]. Two case reports were from Netherlands [30]. Singapore, India, France, Austria, Taiwan, Australia, Iran, Saudi Arabia, Puerto Rico and Greece added single case each to the list [31][32][33][34][35][36][37][38][39][40].…”

Surgical Treatment for Cervical Diffuse Idiopathic Skeletal Hyperostosis as a Cause of Dysphagia

“…Furthermore, there are other mechanisms that cause dysphagia. Several possible explanations other than direct obstruction have been put forward: Several studies suggested neuropathy due to recurrent laryngeal nerve injury as a result of ongoing inflammation and fibrosis of the esophagus secondary to 8 osteophyte irritation as a cause [9][10][11][12][13][14] . One case report indicated a palsy of the left vocal cord due to pressure on the recurrent laryngeal nerve 15) .…”

“…There is a controversy in the literature concerning the appropriate treatment of 9 dysphagia due to Forestier's disease 10) . The recommended first-line approach has been observation or diet modification and a regimen of anti-inflammatory medications 17) .…”

Forestier’s disease presenting with dysphagia and disphonia

“…The thoracic region is almost always involed (96%). The lumbar (90%) and cervical regions (78%) are affected to a lesser extent [4, 6, 7]. At times, soft tissue thickening and calcification can olso occur at peripheral joints, particularly the femur, patella or the metatarsal joint [4, 8, 9].…”