Novosti
|
This journal is indexed in Scopus |
---|
Year 2015 Vol. 23 No 6
CASE REPORTS
S.I. KIRILENKO, S.A. KRYZH, A.A. LITVIN, V.V. ROZHIN
DYSPHAGIA AS A RESULT OF ESOPHAGEAL COMPRESSION BY THE CERVICAL OSTEOPHYTES
ME "Gomel Regional Clinical Hospital",
The Republic of Belarus
Three clinical cases of a rare cause of dysphagia: esophageal compression by cervical osteophytes are presented to pay attention of physicians.
The patients were being treated at the trauma and orthopedic department of ME Gomel "Regional Clinical Hospital" in the period from 01.08.2013 to 01.08.2014. Swallowing problems are a common complaint among pastients.
The decisive methods of instrumental diagnostics were the radiography and computed tomography of the cervical spine. No any deviations were revealed during laboratory investigation. All patients were operated on after complete and comprehensive diagnostics. In two patients the compression of the esophagus and the larynx by the osteophytes was observed, and in one of them - by the osteophytes and sclerous tissues; there were no complications during the operation, throughout the postoperative period. All patients were discharged on the 3rd-4th days after the surgery and began to work in a one-month period. In the case of dysphagia resulting from esophageal compression caused by cervical osteophytes, radiography is the best modality for characterizing suspected lesions. The only radical method for treating severe dysphagia due to the esophageal compression by the cervical osteophytes is considered to be a resection.
- Feinberg MJ, Ekberg O, Segall L, Tully J. Deglutition in elderly patients with dementia: findings of videofluorographic evaluation and impact on staging and management. Radiology. 1992 Jun;183(3):811-14.
- Leopold NA, Kagel MC. Prepharyngeal dysphagia in Parkinson's disease. Dysphagia. 1996 Winter;11(1):14-22.
- Zahn H. Ein Fall von Abknicking der Speiserohre durch vertebrale Ekchondrosen. Munch Med Wochenschr 1905;(52):1680-82.
- Iglauer S. A case of dysphagia due to an osteochondroma of the cervical spine -osteotomy-recovery. Ann Otol Rhinol Laryngol. 1938;47:799-803
- Bone RC, Nahum AM, Harris AS. Evaluation and correction of dysphagia-producing cervical osteophytosis. Laryngoscope. 1974 Nov;84(11):2045-50.
- Humphreys SC, Hodges SD, Eck JC, Griffin J. Dysphagia caused by anterior cervical osteophytes: a case report. Am J Orthop (Belle Mead NJ). 2002 Jul;31(7):417-9.
- Epstein NE, Hollingsworth R. Ossification of the cervical anterior longitudinal ligament contributing to dysphagia. Case report. J Neurosurg. 1999 Apr;90(2 Suppl):261-63.
- Mader R.Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum. 2002 Oct;32(2):130-35.
- Kim SB, Oh SH, Yi HJ. Dysphagia caused by ossification of the cervical anterior longitudinal ligament. J Korean Neurosurg Soc. 2003 Nov;34(5):474-476.
- Granville LJ, Musson N, Altman R, Silverman M. Anterior cervical osteophytes as a cause of pharyngeal stage dysphagia. J Am Geriatr Soc. 1998 Aug;46(8):1003-7.
- Solaroğlu I, Okutan O, Karakuş M, Saygili B, Beşkonakli E. Dysphagia due to diffuse idiopathic skeletal hyperostosis of the cervical spine. Turk Neurosurg. 2008 Oct;18(4):409-11.
- Bauer F. Dysphagia due to cervical spondylosis. J Laryngol Otol. 1953 Oct;67(10):615-30.
- Crowther JA, Ardran GM. Dysphagia due to cervical spondylosis. J Laryngol Otol. 1985 Nov;99(11):1167-69.
- Davies RP, Sage MR, Brophy BP. Cervical osteophyte induced dysphagia. Australas Radiol. 1989 Aug;33(3):223-25.
- Perrone JA.Dysphagia, due to massive cervical exostoses. Arch Otolaryngol. 1967 Sep;86(3):346-47.
- Sobol SM, Rigual NR.Anterolateral extrapharyngeal approach for cervical osteophyte-induced dysphagia. Literature review. Ann Otol Rhinol Laryngol. 1984 Sep-Oct;93(5 Pt 1):498-504
- Kapetanakis S, Vasileiadis I, Papanas N, Goulimari R, Maltezos E. Can a giant cervical osteophyte cause dysphagia and airway obstruction? A case report. Wien Klin Wochenschr. 2011 May;123(9-10):291-3. doi: 10.1007/s00508-011-1564-69.
- Lambert JR, Teppermann PS, Jimenz J, Newman A. Cervical spine disease and dysphagia. Am J Gastroenterol. 1981 Jul;76(1):35-40.
- Komisar A, Tabaddor K. Extrapharyngeal (anterolateral) approach to the cervical spine. Head Neck Surg. 1983 Sep-Oct;6(1):600-4.
- Unlu Z, Orguc S, Eskiizmir G, Aslan A, Tasci S.The role of phonophoresis in dyshpagia due to cervical osteophytes. Int J Gen Med. 2008 Nov 30;(1):11-13.
- Saffouri MH, Ward PW. Surgical correction of dysphagia due to cervical osteophytes. Ann Otol Rhinol Laryngol. 1974 Jan-Feb;83(1):65-70.
- Carlson ML, Archibald DJ, Graner DE, Kasperbauer JL.Surgical management of dysphagia and airway obstruction in patients with prominent ventral cervical osteophytes. Dysphagia. 2011 Mar;26(1):34-40. doi: 10.1007/s00455-009-9264-6.
- Heeneman H.Vocal cord paralysis following approaches to the anterior cervical spine. Laryngoscope. 1973 Jan;83(1):17-21.
- Palmer JH, Ball DR. Awake tracheal intubation with the intubating laryngeal mask in a patient with diffuse idiopathic skeletal hyperostosis. Anaesthesia. 2000 Jan;55(1):70-74.
210023, Republic of Belarus,
Gomel, ul. Bratev Lizyukovyih, d. 5,
UZ "Gomelskaya oblastnaya klinicheskaya bolnitsa",
travmatologo-ortopedicheskoe otdelenie,
tel. office: 375 232 48-55-54,
e-mail: ortoped74.@bk.ru,
Kirilenko Sergey Ivanovich
Kirilenko S.I. PhD, a traumatologist-orthopedist of ME "Gomel Regional Clinical Hospital".
Litvin A.A. PhD, Deputy Chief on Surgery of ME "Gomel Regional Clinical Hospital".
Kryzh S.A. An anesthesiologist-resuscitator of ME "Gomel Regional Clinical Hospital".
Rozhin V.V. A traumatologist-orthopedist of ME "Gomel Regional Clinical Hospital".