Presutti Livio, Alicandri-Ciufelli Matteo, Piccinini Alessia, Trebbi Marco, Marchioni Daniele, Ghidini Angelo, Ruberto Marco
Dept of Otolaryngology-Head and Neck Surgery, University Hospital of Modena, Via del Pozzo 71, 41100 Modena, Italy.
Ann Otol Rhinol Laryngol. 2010 Sep;119(9):602-8. doi: 10.1177/000348941011900906.
We describe the experience of our otolaryngology department in the treatment of Forestier disease, particularly regarding the diagnostic process, surgical treatment, and postoperative outcomes.
The charts of 12 patients who underwent surgical treatment of Forestier disease between January 1, 2003, and January 1, 2009, were analyzed. All patients were subjected to clinical, radiologic, and endoscopic evaluation that confirmed the presence of cervical osteophytes. All patients were treated by a right-sided prevascular transcervical approach to remove cervical osteophytes. A literature review on Forestier disease was also carried out.
One case of immediate postoperative hemorrhage was reported. During the postoperative follow-up, ranging from 1 to 5 years, all patients underwent cervical radiography and fiberoptic laryngoscopy that confirmed no evidence of recurrence, and all patients remained asymptomatic.
A prevascular transcervical right-sided approach seems to be an effective treatment for surgical removal of hyperostosis in Forestier disease, with an acceptable rate of complications and recurrence.
我们描述了我们耳鼻喉科治疗Forestier病的经验，特别是关于诊断过程、手术治疗和术后结果。
分析了2003年1月1日至2009年1月1日期间接受Forestier病手术治疗的12例患者的病历。所有患者均接受了临床、放射学和内镜评估，证实存在颈椎骨赘。所有患者均采用右侧血管前经颈入路切除颈椎骨赘。还对Forestier病进行了文献综述。
报告了1例术后立即出血的病例。在术后1至5年的随访期间，所有患者均接受了颈椎X线摄影和纤维喉镜检查，证实无复发迹象，所有患者均无症状。
右侧血管前经颈入路似乎是手术切除Forestier病骨质增生的有效治疗方法，并发症和复发率可接受。
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