Kruk-Zagajewska A, Wierzbicka M, Zagierska H
Kliniki Otolaryngologii Katedry Chorób Ucha, Nosa, Gardła i Krtani AM im. K. Marcinkowskiego w Poznaniu.
Otolaryngol Pol. 1997;51(6):517-22.
Degenerative changes in the cervical spine can produce osteophytes of the anterior margins of the cervical vertebrae. Although cervical osteophytes have been reported to cause many complications, most remain clinically silent. Very few cases of pharyngeal dysphagia and pseudotumoral bulging of pharyngeal wall resulting from cervical osteophytes have been described. Dysphagia in these cases is caused either by mechanical obstruction or by paraoesophageal inflammation due to irritation at the osteophytes processes. We present a case of 63 year-old patient suffering dysphagia secondary to cervical osteophytes. ENT examination reveal bulged wall of the hypopharynx resemble the tumor. The diagnosis was established by conventional X-ray of the spine and CT. We investigated this case fully to rule out an alternative pathology.
颈椎的退行性变可导致颈椎前缘骨赘形成。虽然已有报道称颈椎骨赘会引发多种并发症，但大多数在临床上并无症状。仅有极少数病例描述了由颈椎骨赘导致的咽吞咽困难和咽壁假瘤样膨出。这些病例中的吞咽困难要么是由机械性梗阻引起，要么是由于骨赘刺激导致食管旁炎症所致。我们报告一例63岁患者，因颈椎骨赘继发吞咽困难。耳鼻喉检查发现下咽壁膨出类似肿瘤。通过脊柱常规X线检查和CT确诊。我们对该病例进行了全面调查以排除其他病理情况。
