Forestier disease: an unusual cause of upper airway obstruction

Caminos, Carlos Beaumont; Cenoz, Idoya Zazpe; Louis, Clint Jean; Otano, Tomás Belzunegui; Esáin, Bernabé Fenández; Ciriza, María Teresa Fortún Pérez de

doi:10.1016/j.ajem.2008.03.048

Cited by 18 publications

(19 citation statements)

References 13 publications

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“…A literature search revealed scattered reports of stridor related to cervical spine pathology, all of which were of a non-malignant nature. 7 In one report, stridor was the result of bilateral abductor cord palsy associated with degenerative (nonmalignant) subluxation of the odontoid peg. 8 In another case, hypertrophic anterior cervical osteophytes resulted in airway compromise following a diagnostic biopsy.…”

Section: Discussionmentioning

confidence: 97%

Unusual presentation of cervical spine metastases to the ENT surgeon

2012

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Section: Discussionmentioning

confidence: 97%

Unusual presentation of cervical spine metastases to the ENT surgeon

2012

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“…Ossification most notably affects the anterior longitudinal ligament of the spine; a condition called OALL. It mostly affects men, and the mean age of the patients is 60 years [ 2 ]. The thoracic region is most commonly affected, followed by the lumbar and cervical regions [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Airway management for patients with ossification of the anterior longitudinal ligament of the cervical spine

et al. 2015

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Ossification of the anterior longitudinal ligament (OALL), also called Forestier’s disease or diffuse idiopathic skeletal hyperostosis, is characterized by anterior bridging osteophytes of unknown etiology. OALL may cause dysphagia, dyspnea, dysphonia, and acute airway obstruction. We report difficulty in tracheal intubation during anesthesia induction in two OALL patients. In an 82-year-old man, anterior bridging osteophytes (of the cervical region) were observed on preoperative lateral radiograph after several attempts of tracheal intubation for the operation of the anterior fusion of cervical spine. During the same procedure in another 69-year-old man, fiberoptic-assisted awake intubation was extremely difficult because of posterior hypopharyngeal wall protuberance by osteophytes of cervical spine; although tracheal intubation for anesthesia was uneventful on two previous occasions over the months. OALL is usually asymptomatic, but it has been found in 12 % of autopsies and may exaggerate with age. Dysphagia, difficulties with tracheal and/or gastric intubation, acute respiratory compromise, and sleep apnea result from the presence of cervical osteophytes. Anesthesiologists should be aware that tracheal intubation for such patients may be difficult, and thus the preoperative evaluation and airway management need careful consideration.

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“…Symptoms involved with the spine are rigidity, decreased mobility and spinal column pain 5. Cervical osteophytes can also cause respiratory symptoms such as dyspnoea,6 aspiration pneumonia4 and sleep apnoea 7. The most common symptom is progressive difficulty with solid foods and eventually liquids.…”

Section: Discussionmentioning

confidence: 99%

Dysphagia due to anterior cervical osteophytes complicated with hypopharynx abscess

Chatziavramidis

Dimitra²

2011

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This report concerns a case of an 80-year-old man with progressive dysphagia and stridor. Patient's clinical and radiological evaluation revealed a mass of the hypopharynx and a large cervical osteophyte. Microlaryngoscopy under general anaesthesia demonstrated the presence of a hypopharynx abscess that was drained. A tracheotomy was performed in order to secure the airway, and 6 weeks later, the patient was decannulated and returned to full consistency diet.

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Forestier disease: an unusual cause of upper airway obstruction

Cited by 18 publications

References 13 publications

Unusual presentation of cervical spine metastases to the ENT surgeon

Unusual presentation of cervical spine metastases to the ENT surgeon

Airway management for patients with ossification of the anterior longitudinal ligament of the cervical spine

Dysphagia due to anterior cervical osteophytes complicated with hypopharynx abscess

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