Gençay Sündüs, Yavuz Haluk, Yilmazer Cüneyt
Department of Otolaryngology, Medicine Faculty of Başkent University, Adana Training Hospital, Adana, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2003 Jun;10(6):240-3.
Cervical osteophytes and other hypertrophic changes of the cervical spine may lead to dysphagia, odynophagia, otalgia, and sensation of a foreign body in the throat when they protrude from the anterior edge of the cervical vertebrae to the pharynx or upper esophagus. A fifty-three-year-old male patient presented with a complaint of dysphagia. Physical examination showed no abnormality. Barium esophagography revealed osteophytic spurs in the anterior aspect of C4-5 vertebrae, in close approximation to the inlet of esophagus, obstructing the esophagus passage by external compression. Anti-inflammatory therapy administered for three weeks did not provide relief of the patient's complaint. Surgical treatment recommended was refused by the patient.
颈椎骨赘和颈椎的其他肥大性改变，当它们从颈椎前缘向咽或上食管突出时，可能导致吞咽困难、吞咽疼痛、耳痛和咽喉部异物感。一名53岁男性患者主诉吞咽困难。体格检查未发现异常。食管钡餐造影显示C4 - 5椎体前方有骨赘，紧邻食管入口，通过外部压迫阻塞食管通道。给予抗炎治疗三周，患者的症状并未缓解。患者拒绝了推荐的手术治疗。
