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Surgery for osteophyte-induced dysphagia.

S M Kibel1, P M Johnson

  • 1General Hospital, Hereford.

The Journal of Laryngology and Otology
|December 1, 1987
PubMed
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Diffuse idiopathic skeletal hyperostosis (DISH) can cause severe dysphagia due to osteophyte formation. Surgical removal of these osteophytes offers a simple and effective treatment for such cases.

Area of Science:

  • Orthopedics
  • Gastroenterology
  • Otolaryngology

Background:

  • Diffuse idiopathic skeletal hyperostosis (DISH) is a condition characterized by abnormal bone growth.
  • Osteophyte formation in the cervical spine can lead to significant clinical complications.
  • Dysphagia, or difficulty swallowing, is a potential symptom of DISH.

Observation:

  • A case study of a patient experiencing severe dysphagia attributed to osteophytes from DISH.
  • The osteophytes were located in a manner that obstructed the pharyngeal passage.
  • Conservative management had not resolved the patient's swallowing difficulties.

Findings:

  • Surgical excision of the cervical osteophytes was performed.
  • The surgical procedure was noted to be straightforward.

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  • The patient experienced significant relief from dysphagia post-surgery, indicating treatment effectiveness.
  • Implications:

    • Surgical intervention is a viable and effective option for managing severe dysphagia caused by DISH-related osteophytes.
    • This case highlights the importance of considering surgical management for refractory dysphagia in DISH patients.
    • Further research into the surgical outcomes and long-term efficacy for DISH-associated dysphagia is warranted.