Dysphagia caused by an anterior cervical osteophyte: case report

Kodama, Mitsuo; Sawada, Hideyuki; Udaka, Fukashi; Kameyama, Masakuni; Koyama, Tsunemaro

doi:10.1007/bf00588521

Cited by 26 publications

(18 citation statements)

References 5 publications

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“…Postulated explanations for the dysphagia caused by HACO include mechanical compression causing esophageal obstruction, periesophagitis and peripharyngitis, fibrosis and adhesions with fixation of the esophagus, cricopharyngeal spasm triggered by pressure on the esophagus, impaired epiglottic motility, and distortion of the larynx or the laryngeal cartilages [10,12,13,25,27,[30][31][32]. In our case, dynamic videofluoroscopy showed a displacement of the pharyngeal lumen anteriorly by HACO.…”

Section: Pathogenesis Of Dysphagiamentioning

confidence: 55%

Anterior Cervical Osteophytes Causing Dysphagia and Dyspnea: An Uncommon Entity Revisited

2007

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Abstract. Large anterior cervical osteophytes can occur in degeneration of the cervical spine or in diffuse idiopathic skeletal hyperostosis (DISH). We present the case of an 83-year-old patient with progressive dysphagia and acute dyspnea, necessitating emergency tracheotomy. Voluminous anterior cervical osteophytes extending from C3 to C7 and narrowing the pharyngoesophageal segment by external compression and bilateral vocal fold immobility were diagnosed radiologically and by fiberoptic laryngoscopy. Surgical removal of all osteophytes led to the resolution of symptoms. Dyspnea with or without dysphagia caused by hypertrophic anterior cervical osteophytes is an uncommon entity. The exhaustive diagnostic workup proposed in the literature could be simplified by using fiberoptic laryngoscopy and dynamic videofluoroscopy. The causes, treatment, and outcome are discussed.

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Section: Pathogenesis Of Dysphagiamentioning

confidence: 55%

Anterior Cervical Osteophytes Causing Dysphagia and Dyspnea: An Uncommon Entity Revisited

2007

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“…The underlying causes of dysphagia are numerous, including esophagitis and esophageal cancer, with cervical osteophyte compression of the esophagus being a less common but important etiological factor. Historically, dysphagia due to cervical osteophytes has been well reported in the literature (Aronowitz and Cobarrubias 2003;Di Vito 1998;Fuerderer et al 2004;Goel et al 1999;Kanbay and Selcuk 2006;Kodama et al 1995;Ng et al 2005;Rosen 1985;Stancampiano et al 2002;Strasser et al 2000;Stuart 1989;Srinivas and George 1999;Yee et al 1985; Zahn (1905) reported the first case (Idem 1906). This was followed in 1926 by Mosher (1926) who reported two cases and in 1938 by Iglauer (1938) who performed the first surgical excision of cervical osteophytes in an attempt to relieve dysphagia.…”

Section: Cervical Osteophytesmentioning

confidence: 96%

Vertebral spinal osteophytes

Klaassen

Tubbs²,

Apaydın

et al. 2010

Anat Sci Int

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Osteoarthritis is a common complication in the elderly and is often associated with osteophyte growth on vertebral bodies. The clinical presentation of vertebral osteophytes is related to anatomical structures adjacent to the spinal column. For instance, cervical osteophytes potentially involve the pharynx and esophagus, leading to dysphagic symptoms that may be accompanied by food aspiration, vocal fold paralysis and obstructive sleep apnea. In addition to anterior cervical osteophytes, posterior and uncinate process osteophytes may form, compressing the spinal cord and vertebral artery blood supply, respectively. Cervical osteophytes have also been shown to form an accessory median atlanto-occipital joint when the relationship between the atlas, dens and basiocciput is involved. In the thorax, the esophagus is often affected by osteophytes and may result in dysphagia. Traumatic and non-traumatic thoracic aorta pseudoaneurysm formation has been attributed to sharp osteophytes lacerating the aorta, a direct complication of the relationship between the aorta anterior vertebral column. Additionally, aspiration pneumonia was reported in patients with compression of a main stem bronchus, due to mechanical compression by thoracic osteophytes. In the lumbar spinal region, the two major structures in close proximity to the spine are the inferior vena cava and abdominal aorta, both of which have been reported to be affected by osteophytes. Treatment of osteophytes is initially conservative with anti-inflammatory medications, followed by surgical removal. Increasing obesity and geriatric populations will continue to result in an array of osteoarthritic degenerative changes such as osteophyte formation.

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“…The ankylosis of cricoarytenoid joint may be due to mechanical compression by a prevertebral hyperostosis, which subsequently causes chondritis of the cricoid cartilage and arytenoid with ankylosis of the cricoarytenoid joint [6][7][8]. This patient also had edematous swelling of the laryngeal structures and right vocal paresis.…”

Section: Discussionmentioning

confidence: 98%

Crico Arytenoid Joint Fixation in Diffuse Idiopathic Skeletal Hyperostosis (DISH): A Case Report

Anand

Vel

Purushothaman

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Advanced form of diffuse idiopathic skeletal hyperostosis or Forestier's disease can induce dysphagia and significant airway symptoms such as hoarseness, snoring, dyspnoea on exertion and laryngeal stridor. We have discussed the diagnosis and management of an unusual case with respiratory distress due to left cricoarytenoid joint fixation and right vocal cord paresis in conjunction with skeletal pathology.

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Dysphagia caused by an anterior cervical osteophyte: case report

Cited by 26 publications

References 5 publications

Anterior Cervical Osteophytes Causing Dysphagia and Dyspnea: An Uncommon Entity Revisited

Anterior Cervical Osteophytes Causing Dysphagia and Dyspnea: An Uncommon Entity Revisited

Vertebral spinal osteophytes

Crico Arytenoid Joint Fixation in Diffuse Idiopathic Skeletal Hyperostosis (DISH): A Case Report

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