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

A number of complications can occur following cervical vertebral fusions of intervertebral disc lesions. These include hypoglossal or recurrent laryngeal nerve paresis, inflammation of the operative wound, injuries of the esophagus and hypopharynx, as well as instability of alloplastic fusion material and spinal cord injury with tetraplegia. Cloward has reported transient postoperative dysphagia in 80% of patients. We describe a patient suffering from persistent dysphagia after cervical fusion. The symptoms were caused by adhesions between the esophagus and prevertebral muscles and a sharp edge of osteochondrosis of the vertebral body. The importance of surgical treatment in such patients is discussed.
HNO 1979 Nov
PMID:[Esophageal complications following ventral cervical disc surgery (author's transl)]. 52 32

After complete separation of the larynx from its cranial suspensions, the larynx is displaced caudally and the base of the tongue cranially. This produces an enlargement of the distance between the larynx and the base of the tongue, which can be demonstrated radiographically. Severe dysphagia is the result which may produce complete inability to swallow. Surgical management of this condition consists of mobilization of the laryngotracheal complex and its attachment to the hyoid bone by sutures. Successful results in two cases are described.
HNO 1977 May
PMID:[Surgical correction of the severed larynx, associated with severe swallowing disturbances (author's transl)]. 88 67

We report three patients with metastases to the ENT-region mimicking a primary malignant tumour. A 36-year-old woman presented with vertigo, sudden hearing loss, partial facial palsy and headaches. CT scan suggested a meningioma or an acoustic neuroma. Histological examination of the neoplasm removed surgically showed a metastasis from an amelanotic melanoma. A 38-year-old woman with nodules in the tongue had dysphagia. The history revealed that she had been treated successfully with chemotherapy for a carcinoma of the uterine cervix one year ago. Histological examination of a tongue biopsy showed a metastasis from the uterine carcinoma. The primary tumour was in complete remission. The third patient was treated for recurrent epistaxis. Physical examination showed a tumour in the right nasal cavity. A CT scan showed a tumour of the ethmoid cells and of the maxillary sinus, protruding into the nose. Histology and immunohistology proved a metastasis from a primary carcinoma of the liver. Ultrasound and CT scan of the liver confirmed the diagnosis.
HNO 1991 Jul
PMID:[Metastasis to the ENT area]. 165 38

The prevalence of dysphagia in the elderly ("presbyphagia") is probably still underestimated, though this disorder represents a major geriatric problem; special attention is necessary to prevent malnutrition, dehydration and aspiration pneumonia. Primary presbyphagia due to physiological, age-related changes of the swallowing mechanism must be differentiated from secondary presbyphagia attributable to diseases which are more frequent in the elderly. Transnasal pharyngo-laryngo-fiberendoscopy, videofluoroscopy and the "modified barium swallow" are of particular value in the diagnostic approach to presbyphagia. The possibilities of treatment are limited. They are aimed at dietary adjustments, compensatory mechanisms based on the properties of the volume and consistency of the food, proper feeding position and help by other persons. Individual swallowing exercises by a speech therapist are particularly valuable. Surgical procedures for the treatment of underlying organic disorders are less often indicated in presbyphagia.
HNO 1991 Nov
PMID:[Dysphagia in the elderly]. 176 68

The mucosal protective effect of sucralfate (Ulcogant) was evaluated in a prospective randomised clinical study during radiation therapy. Twenty-four patients received 1 g of a sucralfate suspension 4 times a day orally for 5 min each. This group was compared with a control group of 21 patients receiving standard oral hygiene consisting of frequent tooth cleaning and disinfection of the oral and pharyngeal mucosa. The radiation technique was telecobalt therapy in two opposing fields using the shrinking field technique, with an electron boost to the posterior lymph nodes; the dosage was 60-70 Gy in daily fractions of 2 Gy. Mucosal reactions, pain and difficulty in swallowing were recorded twice a week. We also checked the patient's weight during treatment. The patients showed significant differences in all parameters, and lower weight loss compared with the control group. Minimal or absent mucosal inflammation pain or dysphagia were found in 88%, 79% and 83% respectively, while 43% and 29% and 52% of the controls had such mild radiation side-effects. Local effectivity appeared to be less in the hypopharynx due to shorter time of application compared with mouth and oropharynx. There were no side-effects from the sucralfate. Sucralfate prophylaxis is effective and easy to apply in the protection of mucosa during irradiation therapy.
HNO 1990 Jan
PMID:[Radiotherapy of head-neck neoplasms: prevention of inflammation of the mucosa by sucralfate treatment]. 217 76

An elongated styloid process or a calcified stylohyoid ligament may cause dysphagia or craniofacial and cervical pain. Palpation and radiography confirm the diagnosis provided that it is considered. The only effective treatment is surgery. Eleven patients undergoing surgery for elongated styloids or calcified ligaments are reported. In all cases the symptoms disappeared or were relieved. An evaluation of the external versus the transoral approach is presented. The authors recommend the external one, as it provides adequate anatomical exposure of the styloid process and its relationship to the structures of the parapharyngeal space.
HNO 1990 Apr
PMID:[Elongated styloid process as a cause of dysphagia]. 235 82

Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory stiffening disease of the vertebral spine due to extensive bone formation, often causing complete bridging of neighbouring intervertebral spaces. Except for the spine, other parts of the skeleton are rarely affected. Although in 78% of all cases the cervical spine is involved, dysphagia is rare (17%), being caused either by mechanical obstruction or by para-oesophageal inflammation due to irritation at the osteophyte processes. The diagnosis may be established by conventional X-ray of the spine, oesophagogram or CT. The paper describes a patient presenting with dysphagia caused by spondylophyte blockage of the cervical spine.
HNO 1989 Apr
PMID:[Diffuse idiopathic skeletal hyperostosis as a cause of dysphagia. A case report]. 272 82

Dysphagia and globus hystericus can be caused by disorders of the cervical spine. Functional disorders of the upper cervical spine are the most common cause of dysphagia and globus hystericus due to vertebral disease. Prominent osteophytes of the ventral spine occasionally cause these complaints. In these cases the operative ablation of the osteophytes is effective. This is demonstrated in the following report, and the indication for operation is discussed.
HNO 1989 Jan
PMID:[Osteochondrosis of the cervical spine as a cause of globus sensation and dysphagia]. 291 82

A 22 year old man with a synovial sarcoma is reported. The first symptom was dysphagia for 5 months. He was treated by excision and post operative radiotherapy (60 Gy). The patient is without recurrence 38 months after surgery. A short review of diagnosis, histology, treatment and prognosis of synovial sarcoma follows.
HNO 1986 Jul
PMID:[Synovial sarcoma of the hypopharynx]. 301 1

Symptoms of masked depression are often localised in the otorhinolaryngeal field. Headache, facial pain, dysphagia, burning sensations in the tongue, tinnitus, vertigo and voice and respiratory disorders were frequent complaints of 48 patients at our out-patient clinic between 1980 and 1985. After careful exclusion of organic disease, they proved to be due to endogenous depressive disorder. An increase in the number of such cases has been noted. One patient is described as an example of the problems of diagnosis.
HNO 1988 Sep
PMID:[Otorhinolaryngologic manifestations of masked mono- or oligosymptomatic depressions]. 317 Feb 84


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