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Transpharyngeal approach for the treatment of dysphagia due to Forestier's disease

  • S. Uppal (a1) and A. H. Wheatley (a1)


Forestier's disease (diffuse idiopathic skeletal hyperostosis) is characterized by extensive spinal osteophyte formation and endo-chondral ossification of paravertebral ligaments and muscles. Dysphagia in the setting of Forestier's disease is a rare and hence often unrecognized entity. The dysphagia is due to mechanical obstruction in the initial stages and later by due to inflammation and fibrosis. Most of these patients are treated conservatively in the initial stages and later by excision of osteophytes through a lateral cervical approach. We present a case of dysphagia due to cervical osteophytes in the setting of Forestier's disease causing narrowing of the pharynx. The patient was treated surgically via a peroral-transpharyngeal route with excellent results.


Corresponding author

Address for correspondence: S. Uppal, Flat 4, Residence 7, Medway Hospital, Gillingham, Kent ME7 5NY.


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Bauer, F. (1953) Dysphagia due to cervical spondylosis. Journal of Laryngology and Otology 67: 615630.
Doyle, D. (1986) Clinical aspects of osteoarthrosis. In Coperman's Textbook of Rheumatic Diseases. 6th Edition. (Scott, J. J., ed.) Churchill Livingstone, Edinburgh, pp 846873.
Forestier, J., Rotes-Querol, J. (1950) Senile ankylosing hyperostosis of the spine. Annals of the Rheumatic Diseases 9: 321330.
McCafferty, R. R., Harrison, M. J., Tamas, L. B., Larkins, M. V. (1995) Ossification of the anterior longitudinal ligament and Forestier's disease: an analysis of seven cases. Journal of Neurosurgery 83: 1317.
Murray, R. O., Jacobson, H. G., Sroker, D. J. (1990) Diffuse idiopathic skeletal hyperostosis. In The Radiology of Skeletal Disorders. 3rd Edition, Churchill Livingstone, Edinburgh, pp 715717.
Ratnesar, P. (1970) Dysphagia due to cervical exostosis. Laryngoscope 80: 469471.
Resnick, D., Niwayama, G. (1976) Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology 119: 559568.
Resnick, D., Shapiro, R. F., Wiesner, K. B., Niwayama, G., Utsinger, P. D., Shaul, S. R. (1978) Diffuse idiopathic skeletal hyperostosis (DISH) [Ankylosing hyperostosis of Forestier and Rotes-Querol]. Seminars in Arthritis and Rheumatism 7: 153187.
Resnick, D., Shaul, S. R., Robins, J. M. (1975) Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations. Radiology 115: 513524.
Saffouri, M. H., Ward, P. H. (1974) Surgical correction of dysphagia due to cervical osteophytes. Annals of Otology – Rhinology and Laryngology 83: 6570.
Suzuki, K., Ishida, Y., Ohmori, K. (1991) Long term follow up of diffuse idiopathic skeletal hyperostosis in the cervical spine. Neuroradiology 33: 427431.



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