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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.
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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

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