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Query: UMLS:C0011168 (dysphagia)
 15,644 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A case of diffuse idiopathic skeletal hyperostosis (DISH) presenting with thoracic outlet syndrome and dysphagia is reported. Although extraspinal manifestations have been reported in these patients, thoracic outlet syndrome, particularly the anatomical anomaly found at operation, is previously unreported in patients with DISH. In addition to discussing DISH and thoracic outlet syndrome, we readvocate the anterior approach for 1st rib resection that was introduced in 1967 by Gol and associates. The direct visualization offered by this approach allowed us to avoid a potential injury to the brachial plexus that may have occurred had the transaxillary approach been used.
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PMID:Diffuse idiopathic skeletal hyperostosis presenting with thoracic outlet syndrome and dysphagia. 326 4

Osteophytosis in degenerative joint diseases of the cervical spine may result in dysphagia. Recently, diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease has also been identified as a cause of dysphagia. A case of DISH with cervical involvement producing dysphagia and rhinolalia is presented. The symptomatology, radiographic features and treatment of DISH involving the cervical region are discussed. The diagnosis of DISH is exclusively radiographic. Recognition of this disorder, unfamiliar to many clinicians, may avoid an unnecessary biopsy procedure of a suspected pharyngeal tumor. Once the diagnosis of DISH is made, a supplemental barium esophagram should be performed to exclude possible coexisting neoplasms. Endoscopy has a definite risk for inducing an inadvertent esophageal perforation and should be avoided, if at all possible. A conservative therapeutic approach is advocated by the authors.
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PMID:Cervical involvement of diffuse idiopathic skeletal hyperostosis with dysphagia and rhinolalia. 326 38

A four-month-old infant was treated for dysphagia associated with infantile cortical hyperostosis (Caffey's disease). Prolonged nutritional support was by nasal or gastrostoma intubation; therapeutic oral feeding was continued. This approach encouraged the development of oral feeding skills, infant-parent bonding and experience of oral satisfactions. The facial skeleton is the most frequent site of involvement in hyperostosis, and dysphagia is a typical component, usually signaled by refusal of food and failure to thrive.
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PMID:Dysphagia in infantile cortical hyperostosis (Caffey's disease): a case study. 328 36

Dysphagia due to cervical osteophytes is not common. However, diffuse idiopathic skeletal hyperostosis (DISH) with cervical involvement which causes dysphagia is even rarer. The otolaryngologist is not generally familiar with this entity. The diagnosis can be made by plain cervical X-ray films, a barium swallowing esophagogram and or a CT scan of the neck. When doubt still exists, further extra-axial X-ray films can be helpful. Although most patients have been treated surgically, there may be a role for conservative therapy initially, as surgery in elderly DISH patients is often morbid and even fatal. A 79-year-old patient with DISH (Forestier's disease) is reported. Non-steroidal anti-inflammatory therapy was successfully implemented. DISH is compared with other disorders of the cervical spine which may cause dysphagia.
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PMID:Diffuse idiopathic skeletal hyperostosis with dysphagia (a review). 349 9

Cervical spondylosis and ankylosing hyperostosis of the cervical vertebrae are common findings. Although these hypertrophic changes can be completely asymptomatic, it is known that dysphagia may occur occasionally in the presence of massive cervical hyperostosis. Laryngotracheal symptoms due to cervical hyperostosis are less frequent and may be managed initially as tumors of the esophagus, trachea, or thyroid gland. The management of two severe cases of dyspnea due to cervical ankylosing hyperostosis are discussed.
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PMID:Respiratory distress due to diffuse cervical hyperostosis. 356 57

Radiographic, clinical and pathologic abnormalities of diffuse idiopathic skeletal hyperostosis (DISH) are presented. Definite criteria must be fulfilled to differentiate DISH from other diseases of the spine, especially intervertebral osteochondrosis and ankylosing spondylitis. A case of massive DISH in the cervical spine causing dysphagia is described.
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PMID:[Diffuse idiopathic skeletal hyperostosis as a cause of dysphagia]. 357

Dysphagia is a common complaint of patients seen by otolaryngologists. Cervical osteophytes have been widely reported as a cause of dysphagia. Recently, Forestier's disease (vertebral ankylosing hyperostosis or diffuse idiopathic skeletal hyperostosis) has also been identified as a cause of dysphagia. Two patients had dysphagia due to Forestier's disease. Their barium esophagograms demonstrated narrowing of the esophagus due to the vertebral osteophytes and their computed tomographic scans show the extent of the osteophyte deformity.
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PMID:Dysphagia and Forestier's disease. 387 32

The distribution and manifestations of arthritic diseases vary widely between different populations and countries. Our study confirms the presence of diffuse skeletal hyperostosis (DISH) in Middle Eastern as well as western populations. The clinicoradiological pattern of 38 patients with DISH syndrome in the Middle East is described. It shows general agreement with the pattern described in western countries with regard to sex, age, most of the clinical symptomatology and radiological findings. None of our patients, however, suffered from dysphagia in contrast to a high incidence in Europe and the United States. One case of quadriparesis is reported in our series. We noted a higher association with diabetes mellitus and lower incidence of cervical, lumbar and upper extremity radiological involvement.
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PMID:Diffuse idiopathic skeletal hyperostosis (DISH). A clinicoradiological study of the disease pattern in Middle Eastern populations. 633 78

Forestier's disease, or ankylosing hyperostosis of the cervical spine, has been described to cause dysphagia, foreign body sensation, and aspiration. We report two patients with ankylosing hyperostosis producing ulceration of the posterior plate of the cricoid cartilage, inflammatory edema, and secondary bilateral vocal cord paralysis with airway obstruction. This disease initially produces minimal dysphagia when the primary location of the osteophyte is just above and posterior to the cricoid, then, progressive airway obstruction. The pathogenesis is infection superimposed on ulceration of the cricoid produced by laryngeal movement over a large, sharp osteophyte. Management included tracheostomy for airway management, endoscopy to rule out malignancy, intravenous antibiotic therapy, and surgical excision of the osteophyte.
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PMID:Cervical ankylosing hyperostosis and airway obstruction. 673 79

Four cases of dysphagia associated with disease of the cervical spine have been presented. One of the patients had cervical spondylosis with osteophyte formation while the other three had Forestier's disease or ankylosing hyperostosis. Symptoms of dysphagia dominated the clinical picture and led to their referral for further management. Two patients underwent surgical procedures and one died in the postoperative period. Two patients were managed conservatively, one with antibiotics, and both did reasonably well. The literature of 40 cases published in the last 54 years has been reviewed. We suggest that dysphagia due to cervical spine disease while an uncommon complication of these bony growths, is by no means rare. The dysphagia may be due to bony protuberances into the hypopharynx or into the esophagus and may be accompanied by soft tissue inflammation. Although most patients have been treated surgically, there may be a role for anti-inflammatory or antibiotic therapy in the first instance as surgery is often morbid and sometimes fatal.
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PMID:Cervical spine disease and dysphagia. Four new cases and a review of the literature. 730 39


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