Diffuse idiopathic skeletal hyperostosis inducted stridor and dysphagia
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 2
Abstract
Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a condition characterized by calcifi cation and ossifi cation of soft tissues, mainly ligaments and enthesis. Dysphagia is the commonest complaint, stridor secondary to osteophyte compression has rarely been documented. The osteophytes may cause symptoms by mechanical compression or by inducting inflammatory reaction. When an upper segment of the C-spine is involved, particular C3 – C4 level, the larynx may be affected. This could be result of hoarseness, stridor, laryngeal stenosis and obstruction. Sometimes vocal fold paralysis may result from injury to the recurrent laryngeal nerve. Treatment of the breathing problems required first on stabilization the airway with tracheostomy. Next step is osteophysectomy which generally relief patients from symptoms.
Authors and Affiliations
Paweł Burduk, Małgorzata Wierzchowska, Lech Grzelak, Krzysztof Dalke, Józef Mierzwiński
Keywords
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