Eviatar E, Harell M
J Laryngol Otol. 1987 Jun;101(6):627-32. doi: 10.1017/s0022215100102403.
Dysphagia due to cervical osteophytes is not common. However, diffuse idiopathic skeletal hyperostosis (DISH) with cervical involvement which causes dysphagia is even rarer. The otolaryngologist is not generally familiar with this entity. The diagnosis can be made by plain cervical X-ray films, a barium swallowing esophagogram and or a CT scan of the neck. When doubt still exists, further extra-axial X-ray films can be helpful. Although most patients have been treated surgically, there may be a role for conservative therapy initially, as surgery in elderly DISH patients is often morbid and even fatal. A 79-year-old patient with DISH (Forestier's disease) is reported. Non-steroidal anti-inflammatory therapy was successfully implemented. DISH is compared with other disorders of the cervical spine which may cause dysphagia.
颈椎骨赘引起的吞咽困难并不常见。然而，伴有颈椎受累且导致吞咽困难的弥漫性特发性骨肥厚（DISH）更为罕见。耳鼻喉科医生一般对这种疾病并不熟悉。诊断可通过颈椎X线平片、吞咽钡剂食管造影或颈部CT扫描来进行。当仍存在疑问时，进一步的轴外X线片可能会有所帮助。尽管大多数患者接受了手术治疗，但最初保守治疗可能也有作用，因为老年DISH患者手术往往风险大甚至会致命。本文报道了一名79岁的DISH（福里斯特尔病）患者。非甾体抗炎治疗成功实施。将DISH与其他可能导致吞咽困难的颈椎疾病进行了比较。
