Oesophageal and Tracheal Pseudo-tumours due to Anterior Cervical Osteophytes

El-Sallab, R. A.; Laws, J. W.

doi:10.1259/0007-1285-38-453-682

Cited by 15 publications

(4 citation statements)

References 2 publications

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“…In our case, a reactive inflammatory mass developed in the hypopharynx adjacent to the anterior cervical osteophytes and was noted on radiologic studies to directly contact the arytenoid cartilage of a restricted vocal fold. Similar masses have been previously described 10,11,19 in patients with anterior cervical osteophytes and have been postulated to be the product of repeated mechanical irritation of the postcricoid region from the act of swallowing along a protruding and compressing osteophyte, resulting in inflammatory hyperplasia. 10 We surmise that in our patient this mass contributed to intrinsic compression of the larynx and led to bilateral vocal fold immobility in the adducted state.…”

Section: Discussionsupporting

confidence: 67%

Hypertrophic Anterior Cervical Osteophytes Causing Dysphagia and Airway Obstruction

Lin¹,

Quesnel²,

Holman³

et al. 2009

Ann Otol Rhinol Laryngol

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Hyperostosis of anterior cervical vertebral osteophytes can produce otolaryngological symptoms ranging from mild dysphagia, dysphonia, and foreign body sensation to severe food impaction and stridulous dyspnea. Airway compromise necessitating a tracheostomy is very rare. We discuss the case of an elderly man who presented with progressive dysphagia and a large hypopharyngeal mass as his initial manifestations of hypertrophic anterior cervical osteophytes. After a biopsy of the mass, the patient went into airway distress due to bilateral vocal fold fixation by the enlarging mass and consequently required a surgical airway. A combined team approach to the removal of the osteophytes successfully resolved his symptoms. The clinical, diagnostic, radiologic, and therapeutic principles involved in this case are presented and discussed. The recognition of hypertrophic osteophytes as a potential cause of common otolaryngological symptoms in the elderly population is paramount, as these symptoms can rapidly progress and lead to life-threatening airway obstruction. Medical and surgical interventions can be employed for the treatment of hypertrophic anterior cervical osteophytes, and they often result in favorable outcomes.

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Section: Discussionsupporting

confidence: 67%

Hypertrophic Anterior Cervical Osteophytes Causing Dysphagia and Airway Obstruction

Lin¹,

Quesnel²,

Holman³

et al. 2009

Ann Otol Rhinol Laryngol

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“…Although clinical signs seem to be mild and non-specific, several cases of particularly severe dysphagia have been reported [4,11,12,[16][17][18][19]. However, LeRoux's [15] analysis of 1200 cases of dysphagia did not result in one single instance connected with cervical ankylosing hyperostosis.…”

Section: Discussionmentioning

confidence: 99%

Diffuse idiopathic skeletal hyperostosis causing obstructing laryngeal edema

Marks

Schober

Swoboda

1998

European Archives of Oto-Rhino-Laryngology

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Diffuse idiopathic skeletal hyperostosis (DISH), or ankylosing hyperostosis ("Forestier's disease"), is an ossifying diathesis of unknown etiology. Diagnosis is primarily radiologic: osseous bridging of at least four contiguous vertebral bodies, a radiolucent line between the deposited bone and the anterior vertebral surface, large osteophytes and preservation of disk height especially in the cervical and lumbar spine. Although DISH is found in 6-12% of autopsy cases, clinical features are rare and consist primarily of swallowing disorders. A case of DISH is reported in which excessively enlarged cervical osteophytes led to edema of the laryngeal inlet and consequent severe dyspnea, necessitating emergency tracheotomy. Surgical excision of the osteophytic masses resulted in relief of symptoms. Symptomatology, radiographic features and individual treatments are discussed, with the latter dependent on clinical symptoms.

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“…According to Verllan, 204 cases of DISH induced dysphagia had been reported until 2011. 18 Swallowing disorder is caused through the variety of mechanisms. With respect to direct compression, osteophytes below C4 can cause moderate to severe dysphagia as a result of direct impingement of the esophagus.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11][12][13][14][15] Infrequently, a concomitant association of swallowing difficulty and upper airway obstruction might be seen in a patient with DISH. [16][17][18][19][20][21] This study reports two DISH cases observed in middle age men with a chief complaint of an increasing-intensity dysphagia over the past year. In both cases the dysphagia became more profound within recent months.…”

Section: Introductionmentioning

confidence: 99%

Two Cases Report of Dysphagia Due to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

Rahimizadeh¹,

Soufiani²,

Rahimizadeh³

et al. 2018

Orthop Res Traumatol Open J

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Copyright 2018 by Rahimizadeh A. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited.cc Case SeriesDiffuse idiopathic skeletal hyperostosis (DISH) is a common disorder among the elderly. It is a well-defined syndrome with axial and peripheral skeletal manifestations including hyperostosis at the tendon insertions site around the joint capsules as well as the ossification of the anterior longitudinal ligament (ALL) of the spine. The bridged ossified anterior longitudinal ligament may infrequently cause swallowing difficulties and respiratory distress. The initial complication is due to excessively enlarged cervical osteophytes at the cervical-subaxial level and at or below C4 with a compression of esophagus. The subsequent complications are usually secondary to enlarged spurs above C4. In this paper we discuss two cases where the patients have experienced progressive dysphagia for one year and in which radiological findings were compatible with DISH from C2-C7 with the largest existing at C4. Surgical excision of the prominent osteophytes resulted in improvement of the dysphagia in both cases.

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Oesophageal and Tracheal Pseudo-tumours due to Anterior Cervical Osteophytes

Cited by 15 publications

References 2 publications

Hypertrophic Anterior Cervical Osteophytes Causing Dysphagia and Airway Obstruction

Hypertrophic Anterior Cervical Osteophytes Causing Dysphagia and Airway Obstruction

Diffuse idiopathic skeletal hyperostosis causing obstructing laryngeal edema

Two Cases Report of Dysphagia Due to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

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