Korean J Otolaryngol-Head Neck Surg.
1998 Nov;41(11):1493-1496.
A Case of Diffuse Idiopathic Skeletal Hyperostosis with Dysphagia
- Affiliations
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- 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Sungkyunkwan University,Samsung Medical Center, Seoul, Korea. chbaek@smc.samsung.co.kr
Abstract
- Diffuse idiopathic skeletal hyperostosis (DISH) is an idiopathic, ossifying diathesis characterized by ossification and thickening at the site of attachment of a ligament or tendon to bone. Although DISH generally affects the lumbar spine, any segment of the spine may be involved. When cervical spine is affected, the extensive cervical spine osteophytes may produce dysphagia and laryngeal symptoms such as hoarseness, dysphonia, and dyspnea etc. We report a DISH patient with dysphagia as a presenting complaint. Plain radiographs and modified barium swallow (MBS) study demonstrated narrowing of esophagus due to severe cervical vertebral osteophytes. Anterior cervical decompression relieved dysphagia and restored esophageal function without major complications.
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