Dysphagia Due to Hypertrophic Cervical Osteophytes

Hirano, Hideo; Suzuki, Hirotoshi; Sakakibara, Tateki; Higuchi, Yoshinori; Inoue, Kikuo; Suzuki, Yoshiro

doi:10.1097/00003086-198207000-00024

Cited by 42 publications

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“…The results consistently showed that these DISH patients developed a recurrence of cervical anterior osteophytes following surgical resection. Importantly, the presence of postoperative intervertebral mobility was found to be a significant risk factor in the recurrent formation of osteophytes [3]. Until now, about 100 cases with DISH-related dysphagia have been described in the literature [1,3,4,7,12,13,16].…”

Section: Discussionmentioning

confidence: 99%

“…Conservative treatment has been indicated for the initial management of these cases [2,16]. Surgical resection of the osteophyte has been reported to be an effective treatment for severe cases and/ or cases with airway obstruction [1,3,4,7,[12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…Many surgical reports about DISH-related dysphagia have been described in the literature [1,3,4,7,12,13,16]: however, few of these include postsurgical results for more than 2 years. Except for a few reports in the Japanese literature [3,13], little study has been given to the regrowth of osteophytes after surgical resection.…”

Section: Introductionmentioning

confidence: 99%

“…Except for a few reports in the Japanese literature [3,13], little study has been given to the regrowth of osteophytes after surgical resection. Therefore, from 1991, we started to observe long-term postoperative courses of DISH patients with recalcitrant dysphagia who underwent surgical resection of osteophytes.…”

Section: Introductionmentioning

confidence: 99%

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Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis

et al. 2009

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Although cervical anterior osteophytes accompanying diffuse idiopathic skeletal hyperostosis (DISH) are generally asymptomatic, large osteophytes sometimes cause swallowing disorders. Surgical resection of the osteophyte has been reported to be an effective treatment; however, little study has been given to the recurrences of osteophytes. A prospective study was performed for seven patients who underwent surgical resection of cervical anterior osteophytes for the treatment of recalcitrant dysphagia caused by osteophytes that accompanied DISH. The seven patients were six men and one woman ranging in age from 55 to 78 years (mean age = 65 years). After a mean postoperative follow-up period of 9 years (range: 6-13 years), surgical outcomes were evaluated by symptom severity and plain radiographs of the cervical spine. On all operated intervertebral segments, the effect of postoperative intervertebral mobility (range of movement[1 degree) on the incidence of recurrent osteophytic formation (width [2 mm) was analyzed by Fisher's exact test. Complete relief of the dysphagia was obtained within one month postoperatively in five patients, while it was delayed for 3 months in two patients.All of the patients developed recurrent cervical osteophytic formation, with an average increase rate of approximately 1 mm/year following surgical resection. Of the 20 operated intervertebral segments, the incidence of recurrent osteophytes was significantly higher (P = 0.0013) in the 16 segments with mobility than in the four segments without mobility. Five of the seven patients remained asymptomatic, although radiological recurrence of osteophytes was seen at the final follow-up. The two remaining patients complained of moderate dysphagia 10 and 11 years after surgery, respectively; one of these two required re-operation due to progressive dysphagia 11 years postoperatively. In patients with cervical DISH and dysphagia, surgical resection of osteophytes resulted in a high likelihood of the recurrence of osteophytes. Therefore, attending surgeons should continue to follow these patients postoperatively for more than 10 years in order to assess the regrowth of osteophytes that may contribute to recurrent symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis

et al. 2009

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“…Five cases were reported each from the UK [18][19][20][21][22] and Chile [23]. Eight cases were reported from eastern Asia, four each from Japan and Korea [24][25][26][27][28][29]. Two case reports were from Netherlands [30].…”

Section: Resultsmentioning

confidence: 99%

Dysphagia Due to Forestier Disease: Three Cases and Systematic Literature Review

Dutta

Mukherjee

Basu

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Forestier disease or diffuse idiopathic skeletal hyperostosis (DISH) is an uncommon cause of dysphagia. Due to rarity of this condition there is neither any demographic data nor any consensus about the investigation and treatment modalities. Here an effort is made in the present article to compile the information regarding the demographic and clinical features, investigation modalities and different methods of treatment from all the available case reports of dysphagia due to Forestier disease in the English literature till date.

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Wirbelsäulengelenke

Töndury¹,

Aufdermaur²

1984

Spezielle Pathologische Anatomie

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Dysphagia Due to Hypertrophic Cervical Osteophytes

Cited by 42 publications

References 0 publications

Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis

Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis

Dysphagia Due to Forestier Disease: Three Cases and Systematic Literature Review

Wirbelsäulengelenke

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