Document Detail


Dysphagia due to cervical osteophytosis.
MedLine Citation:
PMID:  8681676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M Laus; M C Malaguti; C Alfonso; D Ferrari; F A Zappoli; A Giunti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  La Chirurgia degli organi di movimento     Volume:  80     ISSN:  0009-4749     ISO Abbreviation:  Chir Organi Mov     Publication Date:    1995 Jul-Aug
Date Detail:
Created Date:  1996-08-22     Completed Date:  1996-08-22     Revised Date:  2010-06-18    
Medline Journal Info:
Nlm Unique ID:  0372573     Medline TA:  Chir Organi Mov     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  263-71     Citation Subset:  IM    
Affiliation:
Divisione di Ortopedia e Traumatologia Polichlinico S. Orsola-Malpighi, Bologna.
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MeSH Terms
Descriptor/Qualifier:
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:
0/Anti-Inflammatory Agents, Non-Steroidal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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