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一例吞咽困难伴颈椎骨质增生和牙痛的诊断与治疗挑战

A diagnostic and therapeutic challenge involving a case of dysphagia in association with cervical osteophytosis and a dental pain.

作者信息

Dable Rajani A, Wasnik Pradnya B, Nagmode Sunilkumar L, Ali Mukkaram Faridi

机构信息

Department of Prosthodontics, SMBT Dental College and Hospital, Amrutnagar, Sangamner, Maharashtra, India.

出版信息

J Neurosci Rural Pract. 2013 Jul;4(3):334-6. doi: 10.4103/0976-3147.118799.

DOI:10.4103/0976-3147.118799
PMID:24250178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3821431/
Abstract

Herein, presenting a case of a 42-year-old female with the chief complaint of dysphagia. The problem was assumed to be of dental origin, due to the onset of dental pain followed by dysphagia. A cervical radiograph revealed the presence of osteophytic lipping which proved to be the cause of dysphagia. Confusing and overlapping disease entities showing similar symptoms need thorough investigation. Dysphagia related to cervical spondylosis may have a direct connection with the person's occupation. Dentistry is considered a potentially hazardous occupation with regard to musculoskeletal disorders. However, additional studies are required to understand the occupational hazards faced by dentists.

摘要

在此,报告一例以吞咽困难为主诉的42岁女性病例。由于先出现牙痛,随后出现吞咽困难,该问题被认为源于牙齿。颈椎X线片显示有骨赘形成,这被证实是吞咽困难的原因。表现出相似症状的易混淆和重叠的疾病实体需要进行全面调查。与颈椎病相关的吞咽困难可能与个人职业有直接关联。就肌肉骨骼疾病而言,牙科被认为是一个潜在危险的职业。然而,需要进一步研究以了解牙医面临的职业危害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdb/3821431/040a16958e17/JNRP-4-334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdb/3821431/a5c587ed8f12/JNRP-4-334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdb/3821431/040a16958e17/JNRP-4-334-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdb/3821431/a5c587ed8f12/JNRP-4-334-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cdb/3821431/040a16958e17/JNRP-4-334-g002.jpg

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引用本文的文献

1
Commentary.评论
J Neurosci Rural Pract. 2013 Jul;4(3):336-7.

本文引用的文献

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Anterior cervical osteophytes with multilevel disc prolapse causing progressive dysphagia and quadriparesis.
Neurol India. 2012 May-Jun;60(3):366-7. doi: 10.4103/0028-3886.98549.
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Dysphagia due to cervical osteophytes.颈椎骨质增生所致吞咽困难
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Can a giant cervical osteophyte cause dysphagia and airway obstruction? A case report.巨大颈椎骨赘是否会引起吞咽困难和气道阻塞?一例报告。
Wien Klin Wochenschr. 2011 May;123(9-10):291-3. doi: 10.1007/s00508-011-1564-9. Epub 2011 Apr 14.
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