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Dysphagia Caused by Diffuse Idiopathic Skeletal Hyperostosis.

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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.

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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.