Dysphagia and Forestier's Disease

Anterior Cervical Osteophytes Causing Dysphagia and Dyspnea: An Uncommon Entity Revisited

“…Postulated explanations for the dysphagia caused by HACO include mechanical compression causing esophageal obstruction, periesophagitis and peripharyngitis, fibrosis and adhesions with fixation of the esophagus, cricopharyngeal spasm triggered by pressure on the esophagus, impaired epiglottic motility, and distortion of the larynx or the laryngeal cartilages [10,12,13,25,27,[30][31][32]. In our case, dynamic videofluoroscopy showed a displacement of the pharyngeal lumen anteriorly by HACO.…”

“…Sedation, antibiotics, antiinflammatory drugs, steroids, and muscle relaxants with an appropriate soft diet have been used successfully [32]. However, there is no doubt that in cases with prominent respiratory symptoms, the offending bony mass and spurs have to be removed with surgery to avoid further complications and respiratory failure [7].…”

Dysphagia caused by diffuse idiopathic skeletal hyperostosis

“…Computed tomographic scans may show the extent of the osteophyte deformity more precisely, but are usually not necessary (15).…”

Dysphagia due to cervical osteophytes: A controversial entity revisited

“…Nevertheless an increasing number U~Cases have been reported in which large or critiiel~ ally positioned osteophytes have been associated h dysphagia, often severe [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. Many of the ,.cently described cases have been attributed to ,~Sserninated idiopathic skeletal hyperostosis ~ISI-I) [10,[14][15][16][17][18]21]. Relief of symptoms has ,en reported following removal of the obstructing '~SeOuS mass.…”

“…Computed tomography of the cervical spine clearly displays the osteophytic mass and its impingement on the esophagus [13,15,18] but does not provide information on esophageal motility or maximal luminal dimensions of the esophagus with swallowing. It provides no information on other segments of the esophagus.…”