Mesolella Massimo, Buono Sarah, D'Aniello Roberto, Ascione Annarita, Motta Gaetano, Allosso Salvatore
Unit of Otorhinolaryngology, Department of Neuroscience, Reproductive Sciences and Dentistry, University Federico II of Naples, 80131 Naples, Italy.
Unit of Otorhinolaryngology, University Luigi Vanvitelli, 80131 Naples, Italy.
J Pers Med. 2023 Jun 13;13(6):994. doi: 10.3390/jpm13060994.
Forestier's disease is a systemic, degenerative metabolic condition, which is still insufficiently investigated and understood, characterized by the progressive ossification of the ligaments and entheses. This case describes a 63-year-old man admitted to our department after several years of failed attempts to obtain a definitive diagnosis presenting with a painless mass in the pre-auricular region, gradually worsening dysphonia, severe dysphagia relating to solids, stiffness, and mild pain at the back of the neck. After performing further diagnostic tests, in addition to a pleomorphic adenoma, the simultaneous presence of diffuse spondylarthrosis on the cervical spine was highlighted, with beak-like osteophytes at C2-C5 resulting in esophageal compression. Given the absence of upper digestive endoscopy abnormalities, we initiated an intense logopedic and postural rehabilitative treatment, which led to a significant improvement in the patient's dysphagia symptoms. In addition, we limited the use of medical therapy to solely indomethacin in order to control the osteophytic process.
福里斯特尔病是一种全身性、退行性代谢疾病，目前对其研究和了解仍不充分，其特征是韧带和附着点进行性骨化。本病例描述了一名63岁男性，在经过数年未能确诊的尝试后入住我科，患者表现为耳前区无痛性肿块、逐渐加重的声音嘶哑、与固体食物相关的严重吞咽困难、颈部僵硬和轻度疼痛。在进行进一步诊断检查后，除了多形性腺瘤外，还发现颈椎同时存在弥漫性脊椎关节病，C2 - C5有喙状骨赘导致食管受压。鉴于上消化道内镜检查无异常，我们开始了强化的言语治疗和姿势康复治疗，这使患者的吞咽困难症状有了显著改善。此外，我们仅将药物治疗限制在使用吲哚美辛以控制骨赘形成过程。
