Retro-pharyngeal obstruction in association with osteophytes of the cervical spine

Fuerderer, Sebastian; Eysel‐Gosepath, Katrin; Schröder, U.; Delank, K.-S.; Eysel, Peer

doi:10.1302/0301-620x.86b6.14933

Cited by 40 publications

(23 citation statements)

References 24 publications

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“…In contrast, the size of the retropharyngeal space is quite variable [20]. Small osteophytic changes rarely cause compression of the pharynx, esophagus, or upper airway despite the close relationship of the vertebral column to pharyngeal structures [20]. Eyigor et al [18] compiled all 10 published cases of OSA secondary to cervical osteophytes.…”

Section: Cervical Osteophytesmentioning

confidence: 99%

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Sleep apnea and cervical spine pathology

et al. 2013

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Purpose Sleep apnea is a multi-factorial disease with a variety of identified causes. With its close proximity to the upper airway, the cervical spine and its associated pathologies can produce sleep apnea symptoms in select populations. The aim of this article was to summarize the literature discussing how cervical spine pathologies may cause sleep apnea. Methods A search of the PubMed database for Englishlanguage literature concerning the cervical spine and its relationship with sleep apnea was conducted. Seventeen published papers were selected and reviewed. Results Single-lesion pathologies of the cervical spine causing sleep apnea include osteochondromas, osteophytes, and other rare pathologies. Multifocal lesions include rheumatoid arthritis of the cervical spine and endogenous cervical fusions. Furthermore, occipital-cervical misalignment pre-and post-cervical fusion surgery may predispose patients to sleep apnea. Conclusions Pathologies of the cervical spine present significant additional etiologies for producing obstructive sleep apnea in select patient populations. Knowledge of these entities and their pathophysiologic mechanisms is informative for the clinician in diagnosing and managing sleep apnea in certain populations.

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Section: Cervical Osteophytesmentioning

confidence: 99%

“…AHI values ranged from 9.4 to 42 [18]. A few of the patients also had the diagnosis of DISH [19][20][21]. Treatment modalities included constant positive airway pressure (CPAP), medical treatment, and surgery based on preferences and needs of the patients.…”

Section: Cervical Osteophytesmentioning

confidence: 99%

Sleep apnea and cervical spine pathology

et al. 2013

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“…Similarly, iatrogenic manipulations such as tracheal intubation and respiratory infections may increase tissue inflammation and may complicate moderate symptoms [8,12,19]. Unilateral or bilateral vocal fold hypomobility or immobility has been reported in only 14 cases of HACO with dyspnea [7,9,10,22,[24][25][26]29]. The exact mechanism of vocal fold immobility remains unclear, although different hypotheses have been discussed: paresis of terminal laryngeal nerve fibers, trauma to the posteriorly located cricoarytenoid muscles (lateral and posterior), and direct involvement of the cricoarytenoid joint.…”

Section: Pathogenesis Of Dyspneamentioning

confidence: 99%

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

2007

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Abstract. Large anterior cervical osteophytes can occur in degeneration of the cervical spine or in diffuse idiopathic skeletal hyperostosis (DISH). We present the case of an 83-year-old patient with progressive dysphagia and acute dyspnea, necessitating emergency tracheotomy. Voluminous anterior cervical osteophytes extending from C3 to C7 and narrowing the pharyngoesophageal segment by external compression and bilateral vocal fold immobility were diagnosed radiologically and by fiberoptic laryngoscopy. Surgical removal of all osteophytes led to the resolution of symptoms. Dyspnea with or without dysphagia caused by hypertrophic anterior cervical osteophytes is an uncommon entity. The exhaustive diagnostic workup proposed in the literature could be simplified by using fiberoptic laryngoscopy and dynamic videofluoroscopy. The causes, treatment, and outcome are discussed.

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“…An unique case was reported from Turkey by Ílbay et al [6] where an 11-year-old child was suffering from this condition. It was lowest age incidence found, can be considered as an exception as no other case report were found in young individuals and the next minimum age found in literature was 48 years [12].…”

Section: Resultsmentioning

confidence: 78%

“…Seven cases were reported each from Germany [12][13][14] and the USA [15][16][17]. Five cases were reported each from the UK [18][19][20][21][22] and Chile [23].…”

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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Retro-pharyngeal obstruction in association with osteophytes of the cervical spine

Cited by 40 publications

References 24 publications

Sleep apnea and cervical spine pathology

Sleep apnea and cervical spine pathology

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

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

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