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A: Soft tissue X-ray of the neck, in lateral view, showing large anterior osteophytes (white arrow) of the C5 and C6 vertebral bodies and an elongated cricoid osteophyte (black arrow). B: Barium swallow revealing a smooth extrinsic indentation in the esophagus at the level of the osteophyte formation (arrow). C: Axial CT scan showing an osteophyte arising from the cricoid cartilage (arrow). D: Sagittal reconstructed CT images showing an elongated cricoid osteophyte caudally (arrow) at the C5-C6 level.
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Citations
... The difficulty in swallowing was attributed to the compression of the esophagus by the cricoid and cervical osteophytes [14]. We believe that such diagnostics may be important in the presence of short circuits at multiple levels and diagnostic difficulties, in which place the largest esophageal stenosis occurs. ...
Introduction
Diffuse idiopathic skeletal hyperostosis of cervical spine can lead to dysphagia.
Presentation of case
A 73-year-old male weighing 110 kg and diagnosed with diffuse idiopathic skeletal hyperostosis in cervical spine with dysphagia. Patient manifested local pain of neck, a gradual limitation of spinal mobility. The surgery decision was based on swallowing problems, not pain in the spine. Before surgery radiographs, magnetic resonance images, computed tomography of the cervical spine and gastroscopy were obtained. Osteophytes were removed from the anterior approach with present otolaryngologist by surgery.
Discussion
In this case used gastroscopy, CT and MRI for diagnostics. During the procedure we had support otolaryngologist. The patient has not been found a stenosis spinal canal and neurological symptoms. We were removed the ostheophytes. Interbody implants have not been applied.
Conclusion
Disc degeneration disease itself can be asymptomatic or not a dominant problem for the DISH patients. Clinical signs may pharyngoesophageal and tracheal compression, causing dysphagia, shortness of breath and stridor. In this case, the cervical spine was stability and not demonstrated a stenosis in the spinal canal. Isolate removing of the osteophytes without implants in DISH of cervical spine can be enough solution.
... Cervical spondylosis is a degenerative disease affecting the cervical spines and is one of the most common diseases among the elderly population. It commonly coexists with dysphagia, however, adequate and precise investigations should be carried out to avoid misdiagnoses, other causes such as tumors, esophagitis, webs, strictures and neuromuscular disorders should be excluded [19,20]. Mosher [21] was the first to describe dysphagia caused by cervical osteophytes. ...
PURPOSE OF REVIEW:
The article reviews the effects of cervical osteophytosis and spine posture on swallowing, and how they can cause dysphagia.
RECENT FINDINGS:
Cerivical osteophytosis which is a bony overgrowth of the cervical spines, it affects the swallowing through different mechanisms, including direct mechanical compression of the pharynx and esophagus, disturbances of normal epiglottic tilt over the inlet of the larynx by the osteophytes at C3-C4 level, inflammatory reactions in the tissues around the esophagus and cricopharyngeal spasm. Also, cervical spine posture in normal individuals could affect the swallowing mechanism by disturbance of the sphincteric action of the larynx and upper esophageal sphincter.
SUMMARY:
Cervical osteophytosis and abnormal cervical curvature may be overlooked by the Otolaryngologists as causes of swallowing disorders. The diagnosis is usually confirmed by radiologic study for the cervical spine. Cervical abnormality should be kept in mind while we are investigating patients with swallowing problem, and postural modification may help in treatment of such cases.
Purpose of review:
The article reviews the effects of cervical osteophytosis and spine posture on swallowing, and how they can cause dysphagia.
Recent findings:
Cerivical osteophytosis which is a bony overgrowth of the cervical spines, it affects the swallowing through different mechanisms, including direct mechanical compression of the pharynx and esophagus, disturbances of normal epiglottic tilt over the inlet of the larynx by the osteophytes at C3-C4 level, inflammatory reactions in the tissues around the esophagus and cricopharyngeal spasm. Also, cervical spine posture in normal individuals could affect the swallowing mechanism by disturbance of the sphincteric action of the larynx and upper esophageal sphincter.
Summary:
Cervical osteophytosis and abnormal cervical curvature may be overlooked by the Otolaryngologists as causes of swallowing disorders. The diagnosis is usually confirmed by radiologic study for the cervical spine. Cervical abnormality should be kept in mind while we are investigating patients with swallowing problem, and postural modification may help in treatment of such cases.
