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[Cervical osteophytes and ENT disease: three surgery cases]
A Manceau1, P Beutter, E Lescanne
1Service d'Oto-Rhino-Laryngologie et de chirurgie cervico-faciale, Hôpital Bretonneau, CHU de TOURS, 2 boulevard Tonnellé, 37044 Tours Cedex 1. Aurelia.Manceau@wanadoo.fr
Summary
Cervical hyperostosis, often asymptomatic, can cause swallowing difficulties and rare ENT issues like laryngeal paralysis. Surgical treatment was effective for three patients presenting with these symptoms.
Area of Science:
- Otolaryngology
- Neurosurgery
- Radiology
Background:
- Vertebral cervical hyperostosis (VCH) is a common finding in the general population.
- VCH is typically asymptomatic, with dysphagia being the most reported symptom.
Observation:
- This report details three cases of VCH presenting with otolaryngologic (ENT) symptoms.
- Two of these cases exhibited bilateral laryngeal paralysis, a rare manifestation of VCH.
Findings:
- Cervical hyperostosis can lead to significant ENT symptoms beyond dysphagia.
- Bilateral laryngeal paralysis is an uncommon but possible complication of VCH.
Implications:
- Highlights the importance of considering VCH in the differential diagnosis of unexplained ENT symptoms.
- Surgical intervention can be a viable treatment option for symptomatic VCH.
- Further research is warranted to understand the pathophysiology and optimal management of VCH-induced neurological deficits.