Anterior cervical osteophytes resulting in severe dysphagia and aspiration: two case reports and literature review
We report two cases in which dysphagia and aspiration, caused by anterior cervical osteophytes, were so severe that surgical resection was performed. Case reports and a review of the world literature concerning dysphagia caused by anterior cervical osteophytes, in regard to pathogenesis, diagnosis a...
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| Veröffentlicht in: | Journal of laryngology and otology 2009-10, Vol.123 (10), p.1169-1173 |
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| creator | Kos, M P van Royen, B J David, E F Mahieu, H F |
| description | We report two cases in which dysphagia and aspiration, caused by anterior cervical osteophytes, were so severe that surgical resection was performed.
Case reports and a review of the world literature concerning dysphagia caused by anterior cervical osteophytes, in regard to pathogenesis, diagnosis and treatment.
Two patients, aged 71 and 70 years, had long-standing, slowly progressive dysphagia and aspiration; one patient had recurrent episodes of aspiration pneumonia as a result. Both patients were diagnosed on videofluoroscopy with large bony anterior cervical osteophytes. Immediate relief of symptoms was obtained after resection of the osteophytes via an anterolateral, extrapharyngeal approach. Anterior cervical osteophytes are relatively common in the elderly, although not frequently diagnosed, and are mostly seen in cases of diffuse idiopathic skeletal hyperostosis. If therapy is indicated it is mainly conservative; resection is rarely needed.
In patients with anterior cervical osteophytes, surgical treatment is indicated only for selected cases with large, bony osteophytes and severe symptoms. |
| doi_str_mv | 10.1017/S0022215109005246 |
| format | Article |
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Case reports and a review of the world literature concerning dysphagia caused by anterior cervical osteophytes, in regard to pathogenesis, diagnosis and treatment.
Two patients, aged 71 and 70 years, had long-standing, slowly progressive dysphagia and aspiration; one patient had recurrent episodes of aspiration pneumonia as a result. Both patients were diagnosed on videofluoroscopy with large bony anterior cervical osteophytes. Immediate relief of symptoms was obtained after resection of the osteophytes via an anterolateral, extrapharyngeal approach. Anterior cervical osteophytes are relatively common in the elderly, although not frequently diagnosed, and are mostly seen in cases of diffuse idiopathic skeletal hyperostosis. If therapy is indicated it is mainly conservative; resection is rarely needed.
In patients with anterior cervical osteophytes, surgical treatment is indicated only for selected cases with large, bony osteophytes and severe symptoms.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215109005246</identifier><identifier>PMID: 19393122</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Aged ; Biological and medical sciences ; Case reports ; Cervical Spine ; Cervical Vertebrae - surgery ; Deglutition Disorders - etiology ; Dysphagia ; Esophagus ; Fluoroscopy ; Gastroenterology. Liver. Pancreas. Abdomen ; Geriatrics ; Humans ; Literature reviews ; Male ; Medical sciences ; Osteophyte - complications ; Osteophyte - surgery ; Osteophytes ; Other diseases. Semiology ; Otorhinolaryngology. Stomatology ; Pneumonia ; Respiratory Aspiration - etiology ; Treatment Outcome</subject><ispartof>Journal of laryngology and otology, 2009-10, Vol.123 (10), p.1169-1173</ispartof><rights>Copyright © JLO (1984) Limited 2009</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-8b8c6b8d1f7652cdf16c0b09812ca91352e56f3b675926a2472459b55c682ad03</citedby><cites>FETCH-LOGICAL-c538t-8b8c6b8d1f7652cdf16c0b09812ca91352e56f3b675926a2472459b55c682ad03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215109005246/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27923,27924,55627</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21970326$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19393122$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kos, M P</creatorcontrib><creatorcontrib>van Royen, B J</creatorcontrib><creatorcontrib>David, E F</creatorcontrib><creatorcontrib>Mahieu, H F</creatorcontrib><title>Anterior cervical osteophytes resulting in severe dysphagia and aspiration: two case reports and literature review</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>We report two cases in which dysphagia and aspiration, caused by anterior cervical osteophytes, were so severe that surgical resection was performed.
Case reports and a review of the world literature concerning dysphagia caused by anterior cervical osteophytes, in regard to pathogenesis, diagnosis and treatment.
Two patients, aged 71 and 70 years, had long-standing, slowly progressive dysphagia and aspiration; one patient had recurrent episodes of aspiration pneumonia as a result. Both patients were diagnosed on videofluoroscopy with large bony anterior cervical osteophytes. Immediate relief of symptoms was obtained after resection of the osteophytes via an anterolateral, extrapharyngeal approach. Anterior cervical osteophytes are relatively common in the elderly, although not frequently diagnosed, and are mostly seen in cases of diffuse idiopathic skeletal hyperostosis. If therapy is indicated it is mainly conservative; resection is rarely needed.
In patients with anterior cervical osteophytes, surgical treatment is indicated only for selected cases with large, bony osteophytes and severe symptoms.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Case reports</subject><subject>Cervical Spine</subject><subject>Cervical Vertebrae - surgery</subject><subject>Deglutition Disorders - etiology</subject><subject>Dysphagia</subject><subject>Esophagus</subject><subject>Fluoroscopy</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Osteophyte - complications</subject><subject>Osteophyte - surgery</subject><subject>Osteophytes</subject><subject>Other diseases. Semiology</subject><subject>Otorhinolaryngology. 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Liver. Pancreas. Abdomen</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Literature reviews</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Osteophyte - complications</topic><topic>Osteophyte - surgery</topic><topic>Osteophytes</topic><topic>Other diseases. Semiology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pneumonia</topic><topic>Respiratory Aspiration - etiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kos, M P</creatorcontrib><creatorcontrib>van Royen, B J</creatorcontrib><creatorcontrib>David, E F</creatorcontrib><creatorcontrib>Mahieu, H F</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kos, M P</au><au>van Royen, B J</au><au>David, E F</au><au>Mahieu, H F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior cervical osteophytes resulting in severe dysphagia and aspiration: two case reports and literature review</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>123</volume><issue>10</issue><spage>1169</spage><epage>1173</epage><pages>1169-1173</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>We report two cases in which dysphagia and aspiration, caused by anterior cervical osteophytes, were so severe that surgical resection was performed.
Case reports and a review of the world literature concerning dysphagia caused by anterior cervical osteophytes, in regard to pathogenesis, diagnosis and treatment.
Two patients, aged 71 and 70 years, had long-standing, slowly progressive dysphagia and aspiration; one patient had recurrent episodes of aspiration pneumonia as a result. Both patients were diagnosed on videofluoroscopy with large bony anterior cervical osteophytes. Immediate relief of symptoms was obtained after resection of the osteophytes via an anterolateral, extrapharyngeal approach. Anterior cervical osteophytes are relatively common in the elderly, although not frequently diagnosed, and are mostly seen in cases of diffuse idiopathic skeletal hyperostosis. If therapy is indicated it is mainly conservative; resection is rarely needed.
In patients with anterior cervical osteophytes, surgical treatment is indicated only for selected cases with large, bony osteophytes and severe symptoms.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19393122</pmid><doi>10.1017/S0022215109005246</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of laryngology and otology, 2009-10, Vol.123 (10), p.1169-1173 |
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| subjects | Aged Biological and medical sciences Case reports Cervical Spine Cervical Vertebrae - surgery Deglutition Disorders - etiology Dysphagia Esophagus Fluoroscopy Gastroenterology. Liver. Pancreas. Abdomen Geriatrics Humans Literature reviews Male Medical sciences Osteophyte - complications Osteophyte - surgery Osteophytes Other diseases. Semiology Otorhinolaryngology. Stomatology Pneumonia Respiratory Aspiration - etiology Treatment Outcome |
| title | Anterior cervical osteophytes resulting in severe dysphagia and aspiration: two case reports and literature review |
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