Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-28T07:13:13.170Z Has data issue: false hasContentIssue false
  • English
  • Français

Transpharyngeal approach for the treatment of dysphagia due to Forestier's disease

Published online by Cambridge University Press:  29 June 2007

S. Uppal  and
A. H. Wheatley
S. Uppal*
Affiliation:
Department of Otolaryngology, Royal Bolton Hospital, Bolton, Lancashire, UK.
A. H. Wheatley
Affiliation:
Department of Otolaryngology, Royal Bolton Hospital, Bolton, Lancashire, UK.
*
Address for correspondence: S. Uppal, Flat 4, Residence 7, Medway Hospital, Gillingham, Kent ME7 5NY.
Get access Rights & Permissions [Opens in a new window]

Abstract

Forestier's disease (diffuse idiopathic skeletal hyperostosis) is characterized by extensive spinal osteophyte formation and endo-chondral ossification of paravertebral ligaments and muscles. Dysphagia in the setting of Forestier's disease is a rare and hence often unrecognized entity. The dysphagia is due to mechanical obstruction in the initial stages and later by due to inflammation and fibrosis. Most of these patients are treated conservatively in the initial stages and later by excision of osteophytes through a lateral cervical approach. We present a case of dysphagia due to cervical osteophytes in the setting of Forestier's disease causing narrowing of the pharynx. The patient was treated surgically via a peroral-transpharyngeal route with excellent results.

Keywords

Cervical vertebraeDeglutition disordersSpinal osteophytosisHyperostosis, diffuse idiopathic skeletal
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 4 , April 1999 , pp. 366 - 368
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bauer, F. (1953) Dysphagia due to cervical spondylosis. Journal of Laryngology and Otology 67: 615–630.CrossRefGoogle ScholarPubMed
Doyle, D. (1986) Clinical aspects of osteoarthrosis. In Coperman's Textbook of Rheumatic Diseases. 6th Edition. (Scott, J. J., ed.) Churchill Livingstone, Edinburgh, pp 846–873.Google Scholar
Forestier, J., Rotes-Querol, J. (1950) Senile ankylosing hyperostosis of the spine. Annals of the Rheumatic Diseases 9: 321–330.CrossRefGoogle ScholarPubMed
McCafferty, R. R., Harrison, M. J., Tamas, L. B., Larkins, M. V. (1995) Ossification of the anterior longitudinal ligament and Forestier's disease: an analysis of seven cases. Journal of Neurosurgery 83: 13–17.CrossRefGoogle ScholarPubMed
Murray, R. O., Jacobson, H. G., Sroker, D. J. (1990) Diffuse idiopathic skeletal hyperostosis. In The Radiology of Skeletal Disorders. 3rd Edition, Churchill Livingstone, Edinburgh, pp 715–717.Google Scholar
Ratnesar, P. (1970) Dysphagia due to cervical exostosis. Laryngoscope 80: 469–471.CrossRefGoogle ScholarPubMed
Resnick, D., Niwayama, G. (1976) Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology 119: 559–568.CrossRefGoogle ScholarPubMed
Resnick, D., Shapiro, R. F., Wiesner, K. B., Niwayama, G., Utsinger, P. D., Shaul, S. R. (1978) Diffuse idiopathic skeletal hyperostosis (DISH) [Ankylosing hyperostosis of Forestier and Rotes-Querol]. Seminars in Arthritis and Rheumatism 7: 153–187.CrossRefGoogle ScholarPubMed
Resnick, D., Shaul, S. R., Robins, J. M. (1975) Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations. Radiology 115: 513–524.CrossRefGoogle ScholarPubMed
Saffouri, M. H., Ward, P. H. (1974) Surgical correction of dysphagia due to cervical osteophytes. Annals of Otology – Rhinology and Laryngology 83: 65–70.CrossRefGoogle ScholarPubMed
Suzuki, K., Ishida, Y., Ohmori, K. (1991) Long term follow up of diffuse idiopathic skeletal hyperostosis in the cervical spine. Neuroradiology 33: 427–431.CrossRefGoogle ScholarPubMed