Akhtar S, O'Flynn P E, Kelly A, Valentine P M
Department of Speech and Swallowing Therapy, Royal National Throat Nose and Ear Hospital, London, UK.
J Laryngol Otol. 2000 Feb;114(2):154-7. doi: 10.1258/0022215001904950.
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.
弥漫性特发性骨肥厚（DISH），即福里斯特尔病，是一种在耳鼻喉科常见的骨化性疾病，因为它影响12%至28%的成年人口。这种骨肥厚形式在临床上可表现为吞咽困难、食物嵌塞、声音嘶哑、喘鸣、脊髓病和其他神经问题。对严重吞咽困难进行明智的管理具有挑战性。保守治疗失败后，手术往往成为唯一选择。在本报告中，讨论了经颈前外侧手术入路治疗融合性骨赘，并强调了电视荧光吞咽造影的价值。
