Cervical osteophytes presenting with pharyngeal symptoms

Maran, A. G. D.; Jacobson, Ian

doi:10.1288/00005537-197103000-00009

Cited by 58 publications

(29 citation statements)

References 6 publications

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“…During the 1950s, local lesions such as lingual tonsil hypertrophy were postulated as a possible cause [7]. Cervical osteophytes [8] and iron deficiency anaemia were believed during 1970s as aetiological factors [9]. Gastrooesophageal Reflux Disease (GORD) has been postulated during the recent years [10,11], but studies using 24-hour ambulatory PH monitoring of the lower oesophagus have produced conflicting results [12].…”

Section: Introduction and Literature Reviewmentioning

confidence: 99%

Positive findings on barium swallow in patients presenting with a “sensation of a lump in the throat”

Mahrous

Kaoutzanis

Amin

et al. 2011

Eur Arch Otorhinolaryngol

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Our objective is to evaluate the pickup rate of a significant pathology, on barium swallow, in patients who present to our clinic with a feeling of a lump in the throat (globus symptoms). Hospital--secondary referral centre. This is a retrospective study of 192 patients who had barium swallow in our department between August 2009 and August 2010. We revised 500 case notes to rule in 192 who presented with only a feeling of a lump in their throat. All patients with positive clinical findings, such as dysphagia, odynophagia, referred otalgia, hoarseness of voice, weight loss, neck swelling or vocal cord palsy, were ruled out. Eight patients were diagnosed on barium swallow as having significant pathology: five with diverticulae and three patients with oesophageal web. The percentage of significant pathology in our study is 4.17% (eight patients). Out of those eight cases, there was no malignant pathology identified on further panendoscopy. Our conclusion is that barium swallow adds very little to the diagnosis of Globus Pharyngeus, but it plays a role in the reassurance particularly from the patients' perspective.

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Section: Introduction and Literature Reviewmentioning

confidence: 99%

Positive findings on barium swallow in patients presenting with a “sensation of a lump in the throat”

Mahrous

Kaoutzanis

Amin

et al. 2011

Eur Arch Otorhinolaryngol

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“…Local lesions such as lingual tonsillar hypertrophy were postulated in the 1950s [7]. Cervical osteophytes [8] and iron deficiency anemia were proposed in the 1960s, but again the evidence was conflicting [9]. Perhaps the most controversial, and indeed most debated of potential causes, is GERD.…”

Section: Introductionmentioning

confidence: 99%

The Natural History of Globus Pharyngeus

Cashman

Donnelly

2010

International Journal of Otolaryngology

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Globus pharyngeus is a common disorder and accounts for 5% of all ENT referrals. Objectives. To evaluate the role of barium swallow and endoscopy in these patients, to ascertain the incidence, if any, of aerodigestive tract malignancy in this group and to assess the natural evolution of globus pharyngeus. Materials and Methods. Seventy-nine patients underwent barium swallow and rigid oesophagoscopy for globus pharyngeus between January 2005 and October 2008. Fifty-five patients were contacted by phone on average 5 years and 3 months after intervention and asked if their symptoms still persisted. Twenty-four patients were uncontactable or lost to followup, three patients were deceased, two of cardiac related disease and one of renal failure. Results. The majority of patients, 36 of 55 (65%), had a normal barium swallow. Forty-five of 55 (82%) of patients had normal rigid endoscopies. Thirty-one of 55 (56%) patients were at an average followup time of 5 years and 3 months. No patient developed a malignant lesion. Conclusion. Globus pharyngeus is a relatively common but benign condition of indeterminate origin. Our study demonstrates that many of these patients spontaneously improve with time.

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“…At present, some authors, e.g., Goymann and Schlegel [14], Rasinger and Kotz [30] and Suzuki et al [36] prefer the excision of osteophytes combined with fusion which was first practiced by Maran and Jacobson [20] as the relapse tendency is too high in cases of instability. This was confirmed by Stuart [35].…”

Section: Discussionmentioning

confidence: 99%

Cervical hyperostosis: A rare cause of dysphagia

Krause

Castro

1994

Eur Spine J

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Dysphagia can be caused by disorders of the cervical spine. Very seldomly, prominent osteophytes of the ventral spine are responsible. The case of a 63-year-old patient with large anterior osteophytes from C3 to C7 is presented. The successful ablation of these spondylophytes relieved the patient of his swallowing difficulties. Up to now there have been many different opinions about the etiology of this disease. In this special case, a diffuse idiopathic skeletal hyperostosis, also known as Forestier's disease or diffuse idiopathic skeletal hyperostosis, seems to be the most likely cause.

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Cervical osteophytes presenting with pharyngeal symptoms

Cited by 58 publications

References 6 publications

Positive findings on barium swallow in patients presenting with a “sensation of a lump in the throat”

Positive findings on barium swallow in patients presenting with a “sensation of a lump in the throat”

The Natural History of Globus Pharyngeus

Cervical hyperostosis: A rare cause of dysphagia

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