Bilateral vocal fold paralysis and dysphagia secondary to diffuse idiopathic skeletal hyperostosis

被引:12
作者
Allensworth, Jordan J. [1 ]
O'Dell, Karla D. [2 ]
Schindler, Joshua S. [1 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Otolaryngol Head & Neck Surg, 3181 SW Sam Jackson Pk Blvd,PV01, Portland, OR 97239 USA
[2] Univ Southern Calif, Keck Sch Med, Dept Otolaryngol Head & Neck Surg, Los Angeles, CA USA
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2017年 / 39卷 / 01期
关键词
vocal fold paralysis; dysphagia; hyperostosis; Forestier disease; osteophytectomy; FORESTIERS-DISEASE; AIRWAY-OBSTRUCTION; NERVE INJURY; PREVALENCE; POPULATION; SPINE; DISH;
D O I
10.1002/hed.24569
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background. Diffuse idiopathic skeletal hyperostosis (DISH) is an idiopathic spinal disease common in the elderly and characterized by flowing ossification and osteophyte formation along the spinal column. Cervical hyperostosis is capable of producing dysphagia, stridor, and airway obstruction; however, there are no extant reports of true paralysis of bilateral vocal folds in patients fulfilling the criteria for DISH. Methods and Results. We report a case of a 61-year-old man presenting with dysphagia and dyspnea. Flexible laryngoscopy revealed bilateral true vocal fold paralysis. Cervical radiograph showed flowing ossification of the anterior longitudinal ligament with preservation of intervertebral disc height. Tracheotomy and cervical osteophytectomy were performed, after which the patient showed improved swallowing and speaking ability and was decannulated without complication. Conclusion. In the case presented, cervical osteophytectomy dramatically reversed bilateral vocal fold paralysis and dysphagia secondary to hyperostosis, thus negating the need for prolonged tracheostomy and feeding tube dependence. (C) 2016 Wiley Periodicals, Inc.
引用
收藏
页码:E1 / E3
页数:3
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