Valadka A B, Kubal W S, Smith M M
Division of Neurological Surgery, Medical College of Virginia, Richmond, USA.
Dysphagia. 1995 Summer;10(3):167-71. doi: 10.1007/BF00260972.
Anterior cervical osteophytes impinging upon the pharynx or esophagus constitute a rare cause of dysphagia. In severe cases, surgical removal of these osteophytes can provide symptomatic relief. We describe a patient of this type who failed to improve postoperatively, only to be found subsequently to have a carcinoma of the base of the tongue. To assist other clinicians in evaluating similar patients, and also to emphasize the great utility of modern radiologic techniques in these cases, we propose a diagnostic algorithm that incorporates magnetic resonance or computerized tomographic imaging.
颈椎前缘骨赘压迫咽或食管是吞咽困难的罕见原因。在严重病例中，手术切除这些骨赘可缓解症状。我们描述了一名此类患者，术后病情未改善，后来发现患有舌根癌。为帮助其他临床医生评估类似患者，并强调现代放射学技术在这些病例中的巨大作用，我们提出一种结合磁共振成像或计算机断层扫描成像的诊断算法。
