Dysphagia Caused by Cervical Osteophytes: Three Cases Treated Successfully by Surgery

Sampath, Prakash; Mikaelian, Diran O.

doi:10.1016/s0194-5998(99)70375-x

Cited by 19 publications

(3 citation statements)

References 15 publications

(44 reference statements)

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“…Similar results have been reported by others [26] , [27] , [28] , although a number of complications, such as recurrent laryngeal nerve palsy, haematoma and perforation, are possible [24] .…”

Section: Discussionsupporting

confidence: 91%

“…Indeed, other studies have also supported the highly successful outcomes at short term follow up of surgical excision [26] , [27] , with Laus et al. [26] showing that in a study of 3 patients with dysphagia due to vertebral osteophyte, surgical excision resulted in all patients being completely asymptomatic at 1–2 years follow up, and radiographically there was no recurrence of lesions.…”

Section: Discussionmentioning

confidence: 79%

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Dysphagia due to oesophageal obstruction: A case report of unusual occupational aetiology

Makaram

Gohil

Majumdar

2015

Annals of Medicine &Amp; Surgery

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IntroductionWe report the rare case of a patient presenting with dysphagia secondary to a large vertebral osteophyte, which formed from his previous occupation.Presentation of caseA 76-year-old gentleman presented with a year-long history of dysphagia to solids, at the laryngeal level. He was otherwise well, with no red-flag symptoms. Nasoendoscopy showed a left-sided bulge obstructing the piriform fossa. Barium swallow demonstrated a large C4/C5 vertebral osteophyte. Excluding other abnormalities the patient's dysphagia was determined to be due to the osteophyte. The patient mentioned carrying large (50 kg) bags of coal for his previous occupation. This chronic trauma was concluded to be the cause for the osteophyte.DiscussionWe use this case as an opportunity to outline mechanism of swallowing, and the causes and classification of dysphagia are additionally described. We also review the literature regarding vertebral osteophytes to contextualise the rarity of this case, especially in regard to the strong occupational association.ConclusionA structured and thorough history and examination in dysphagia is emphasized. It is important to enquire about ‘red-flag’ symptoms, suggestive of head and neck or upper gastrointestinal malignancy. Barium swallow is a critical investigation in dysphagia-it can also demonstrate large bony abnormalities, which is a rare causative factor.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 79%

Dysphagia due to oesophageal obstruction: A case report of unusual occupational aetiology

Makaram

Gohil

Majumdar

2015

Annals of Medicine &Amp; Surgery

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“…However, recent research have etablished that obesity and a first degree relative with hypertension or diabetes mellitus are significal risks factors for developing Forestier's disease [17, 18]. Conservative treatment has been indicated for the initial management of the most patients [1, 16, 19, 20]. Surgical resection of the osteophytes has been reported to be an effective treatment for severe cases and/ or cases with airway obstruction [14, 21, 22].…”

Section: Discussionmentioning

confidence: 99%

Forestier’s disease presenting with dysphagia and disphonia

Najib¹,

Goutagny²,

Peyre³

et al. 2014

Pan Afr Med J

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Forestier's disease, also known as diffuse idiopathic skeletal hyperostosis (DISH), is a pathology of vertebral bodies characterised by exuberant osteophytis formation. Forestier's disease is usually managed conservatively. Surgical resection of the osteophytes is reported to be an effective treatment for severe cases and/ or cases with airway obstruction. We report a 55-year-old man presenting with 6 months’ progressive dysphagia and dysphonia. He was managed successfully with an anterior cervical osteophytectomy without fusion. A literature review is included.

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Anterior cervical osteophyte dysphagia: Manofluorographic and functional outcomes after surgery

et al. 2010

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Functional (FOSS) and objective MFG (IB-Gra) improvements occurred in patients who had ACO dysphagia and underwent surgery. These findings support high IB-Gra as a reliable objective indicator for surgical intervention for ACO dysphagia and IB-Gra as an appropriate parameter for follow-up after ACO removal. In selected patients, ACO removal by anterolateral-transcervical approach is a safe and highly effective treatment.

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Dysphagia Caused by Cervical Osteophytes: Three Cases Treated Successfully by Surgery

Cited by 19 publications

References 15 publications

Dysphagia due to oesophageal obstruction: A case report of unusual occupational aetiology

Dysphagia due to oesophageal obstruction: A case report of unusual occupational aetiology

Forestier’s disease presenting with dysphagia and disphonia

Anterior cervical osteophyte dysphagia: Manofluorographic and functional outcomes after surgery

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