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The management of dysphasia in skeletal hyperostosis

Published online by Cambridge University Press:  08 March 2006

S. Akhtar ,
P. E. O’Flynn ,
A. Kelly  and
P. M. W. Valentine
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Abstract

Diffuse idiopathic skeletal hyperostosis (DISH), or Forestier’s disease, is an ossifying condition frequently encountered in otolaryngology as it affects 12–28 per cent of the adult population. This form of hyperostosis can manifest clinically with dysphagia, food impaction, hoarseness, stridor, myelopathies and other neurological problems. Judicious management of severe dysphagia proves challenging. The failure of conservative care often leaves surgery as the only option. In this report an anterolateral transcervical surgical approach to the confluent osteophytes is discussed and the value of videofluoroscopic swallow highlighted

Keywords

Hyperostosisdiffuse idiopathic skeletalDeglutition disordersSurgeryoperative
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 114 , Issue 2 , February 2000 , pp. 154 - 157
Copyright
Royal Society of Medicine Press Limited 2000

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