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Document Details : Title: Choking, sore throat with referred otalgia and dysphagia in a patient with diffuse idiopathic skeletal hyperostosis (DISH) Author(s): EBO DG, UYTTERHAEGEN PJ, LAGAE PL, VANDER MIJNSBRUGGE AM, GOFFIN J Journal: Acta Clinica Belgica Volume: 60 Issue: 2 Date: 2005 Pages: 98-101 DOI: 10.2143/ACB.60.2.2050450 Abstract : A patient with a progressively increasing immobilisation of the cervical spine, severe impaired swallowing (choking), sore throat with referred right-sided otalgia, mild voice disorder and dysphagia due to extrinsic bone compression of the posterior hypopharyngeal wall and oesophagus is presented. Radiographic investigation demonstrated the underlying condition to be a diffuse idiopathic skeletal hyperostosis with prominent and bumpy alteration of the anterior longitudinal ligament impinging the hypopharynx. Via an anterolateral approach towards the cervical spine the anterior irregular part of the ossification was removed and the surface of the spine flattened. The postoperative evolution was uneventful. |
