| Dysphagia due to cervical osteophytosis. | |
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MedLine Citation:
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PMID: 8681676 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cervical lesions caused by diffused idiopathic skeletal hyperostosis may cause compression of the upper respiratory and digestive paths. Horizontal anterior osteophytes that are not fused can cause dysphagia and dysphonia, large prevertebral ossifications extended or segmental may cause difficulty in breathing. A series of 6 cases with dysphagia, dysphonia, dyspnea due to duffused idiopathic skeletal hyperostosis, with cervical lesions is reported. In 3 cases, affected with moderate dysphagia, conservative treatment with anti-inflammatory drugs and a proper diet allowed for the symptoms to be controlled, and for spontaneous evolution of the lesions to occur, with fusion and remodeling of the compressive osteophytes. These patients continue to be asymptomatic 2-7 years after the first observation. In 3 cases affected with severe respiratory and/or nutrition deficit, the osteophytes and ossifications were surgically removed by prevascular extrapharyngeal approach, and rapid resolution of symptoms ensued. The follow-up 1-2 years after treatment showed that patients were asymptomatic and that radiographically there was no recurrence of lesions. |
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Authors:
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M Laus; M C Malaguti; C Alfonso; D Ferrari; F A Zappoli; A Giunti |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: La Chirurgia degli organi di movimento Volume: 80 ISSN: 0009-4749 ISO Abbreviation: Chir Organi Mov Publication Date: 1995 Jul-Aug |
Date Detail:
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Created Date: 1996-08-22 Completed Date: 1996-08-22 Revised Date: 2010-06-18 |
Medline Journal Info:
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Nlm Unique ID: 0372573 Medline TA: Chir Organi Mov Country: ITALY |
Other Details:
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Languages: eng Pagination: 263-71 Citation Subset: IM |
Affiliation:
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Divisione di Ortopedia e Traumatologia Polichlinico S. Orsola-Malpighi, Bologna. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anti-Inflammatory Agents, Non-Steroidal / therapeutic use Cervical Vertebrae* Deglutition Disorders / etiology* Diet Female Follow-Up Studies Humans Male Middle Aged Postoperative Care Spinal Osteophytosis / complications*, radiography, surgery, therapy Time Factors Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents, Non-Steroidal |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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