Oropharyngeal Dysphagia due to Anterior Cervical Osteophytosis
DOI:
https://doi.org/10.60591/crspmi.76Keywords:
Deglutition Disorders, Spinal OsteophytosisAbstract
Oropharyngeal dysphagia has recently been recognized as a geriatric syndrome. Its incidence increases with age, with a prevalence of 27% to 40% in those older than 70 years old. Anterior cervical osteophytosis is a degenerative disease of the cervical vertebrae, frequent in the elderly population and responsible for 1.6% of dysphagia cases in this age group.
We present a case of progressive oropharyngeal dysphagia, whose etiological study identified the presence of large anterior cervical osteophytes, with indication for surgical intervention. Although anterior cervical osteophytosis is rarely involved in the etiology of dysphagia, it is important that healthcare professionals are aware of this diagnosis, allowing early identification and treatment and, thus, improving the overall prognosis.
Downloads
References
World Gastroenterology Organisation. WGO Practice Guidelines: Dysphagia. [accessed Jan 2022] Available from: https://www.worldgastroenterology.org/guidelines/dysphagia
Espitalier F, Fanous A, Aviv J, Bassiouny S, Desuter G, Nerurkar N, et al. Crevier-Buchman L. International consensus (ICON) on assessment of oropharyngeal dysphagia. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135:S17-S21. doi: 10.1016/j.anorl.2017.12.009.
Aslam M, Vaezi MF. Dysphagia in the elderly. Gastroenterol Hepatol. 2013 ;9:784-95.
Baijens LW, Clavé P, Cras P, Ekberg O, Forster A, Kolb GF, et al. European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging. 2016;11:1403-28. doi: 10.2147/CIA.S107750.
Aires MM, Fukumoto GM, Ribeiro SL, Haddad L, Alvarenga EHL. Dysphagia due to anterior cervical osteophytosis: case report. Codas.
;34:e20200435. doi: 10.1590/2317-1782/20212020435.
Correia FM, Jorge JP, Neves AS, Xavier GF, Oliveira MM, Ferreira JE. Dysphagia due to anterior cervical osteophytosis: case report. Coluna/Columna. 2014;13:325–7. doi: 10.1590/s1808-18512014130400r65
Verlaan JJ, Boswijk PF, de Ru JA, Dhert WJ, Oner FC. Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction. Spine J. 2011;11:1058-67. doi: 10.1016/j.spinee.2011.09.014.
Choi HE, Jo GY, Kim WJ, Do HK, Kwon JK, Park SH. Characteristics and clinical course of dysphagia caused by anterior cervical osteophyte. Ann Rehabil Med. 2019;43:27-37. doi: 10.5535/arm.2019.43.1.27.
Akbal A, Kurtaran A, Selcuk B, Gurcan A, Ersoz M, Akyuz M. The development of dysphagia and dysphonia due to anterior cervical osteophytes. Rheumatol Int. 2009;29:331-4. doi: 10.1007/s00296-008-0669-6.
Seo JW, Park JW, Jang JC, Kim JW, Lee YG, Kim YT, Lee SM. Anterior cervical osteophytes causing Dysphagia and paradoxical vocal cord motion leading to dyspnea and dysphonia. Ann Rehabil Med. 2013;37:717-20. doi: 10.5535/arm.2013.37.5.717.