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Dysphagia Caused by Diffuse Idiopathic Skeletal Hyperostosis
1Former Senior Fellow, Head and Neck Surgery/Microvascular Reconstructive Surgery, Department of Oral and Maxillofacial Surgery/Head and Neck Surgery, Louisiana State University School of Medicine, Shreveport, LA.
Summary
Diffuse idiopathic skeletal hyperostosis (DISH), or Forestier disease, is common in older adults. This condition, often presenting with head and neck symptoms, is frequently overlooked in dental and maxillofacial literature.
Area of Science:
- Oral and Maxillofacial Surgery
- Rheumatology
- Geriatric Medicine
Background:
- Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier disease, is a prevalent condition in the elderly.
- While well-documented in orthopedic and rheumatologic fields, DISH remains underreported in maxillofacial and dental literature.
Observation:
- DISH commonly manifests with symptoms affecting the head and neck region.
- These symptoms can be subtle and may not be readily identified by oral and maxillofacial surgeons.
Findings:
- The presentation of DISH in the head and neck can mimic other conditions.
- Lack of awareness in dental and maxillofacial specialties may lead to delayed or missed diagnoses.
Implications:
- Increased awareness of DISH among oral and maxillofacial surgeons is crucial for accurate diagnosis.
- Recognizing DISH can improve patient management and prevent misdiagnosis of other pathologies.
- Further research is warranted to understand the specific oral and maxillofacial manifestations of DISH.
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