Anterior cervical osteophytes causing dysphagia and dyspnea: an uncommon entity revisited.

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.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Giger R,Dulguerov P,Payer M

doi

10.1007/s00455-006-9049-0

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

259-63

issue

4

eissn

0179-051X

issn

1432-0460

journal_volume

21

pub_type

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