We report five cases of dysphagia caused by diffuse idiopathic skeletal hyperostosis or Forestier's disease of the cervical spine observed by clinical evaluations, X-ray and videofluoroscopy. Dysphagia in particular was present for solid foods in all patients. Three patients showed bolus aspiration into the airways, mainly in the post-swallowing phase and one patient with preserved epiglottic tilt showed post-swallowing penetration. The physiopathogenetic mechanisms affecting swallowing dynamics were mechanical compression of the pharyngeal lumen associated with abnormal epiglottic tilt, incomplete upper esophageal sphincter openings and epiglottic/vallecula stasis. According to our results we can hypothesize that these kinetic alterations may due to Forestier's disease.

Dysphagia due to diffuse idiopathic skeletal hyperostosis: an analysis of five cases

MASIERO, STEFANO;
2010

Abstract

We report five cases of dysphagia caused by diffuse idiopathic skeletal hyperostosis or Forestier's disease of the cervical spine observed by clinical evaluations, X-ray and videofluoroscopy. Dysphagia in particular was present for solid foods in all patients. Three patients showed bolus aspiration into the airways, mainly in the post-swallowing phase and one patient with preserved epiglottic tilt showed post-swallowing penetration. The physiopathogenetic mechanisms affecting swallowing dynamics were mechanical compression of the pharyngeal lumen associated with abnormal epiglottic tilt, incomplete upper esophageal sphincter openings and epiglottic/vallecula stasis. According to our results we can hypothesize that these kinetic alterations may due to Forestier's disease.
File in questo prodotto:
Non ci sono file associati a questo prodotto.
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11577/2426053
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 17
  • ???jsp.display-item.citation.isi??? 17
social impact