Chen Yi-Ren, Sung Kwang, Tharin Suzanne
Department of Neurosurgery, Stanford University School of Medicine.
Department of Otolaryngology - Head & Neck Surgery, Stanford University School of Medicine.
Cureus. 2016 Feb 2;8(2):e473. doi: 10.7759/cureus.473.
Anterior cervical osteophytes are found in 20-30% of elderly patients. Rarely, severe osteophytes can cause dysphagia, dysphonia, and dyspnea. Here, we illustrate a case of severe dysphagia caused by a large post-traumatic osteophyte with oropharyngeal swallow study showing a significant mass effect on the pharynx and resolution following osteophytectomy. We also review the literature regarding the etiology, diagnosis, and treatment of symptomatic anterior cervical osteophytes.
在20%至30%的老年患者中可发现颈椎前缘骨赘。严重的骨赘很少会导致吞咽困难、声音嘶哑和呼吸困难。在此,我们展示了一例由巨大创伤后骨赘引起严重吞咽困难的病例,口咽吞咽研究显示该骨赘对咽部有显著的占位效应,骨赘切除术后症状缓解。我们还回顾了有关有症状的颈椎前缘骨赘的病因、诊断和治疗的文献。