Retro-pharyngeal obstruction in association with osteophytes of the cervical spine.
نویسندگان
چکیده
We describe five patients with cervical spondylosis and large anterior osteophytes causing pharyngeal compression. All had dysphagia, two had obstructive sleep apnoea and another two had dyspnoea and stridor on inspiration. One, with perforation of the pharynx, required emergency tracheostomy. Only three had pain in the neck or arm. Compression of the retroglottic space was confirmed in all patients by pharyngoscopy and in all the symptoms were relieved by excision of the osteophytes. Three also underwent intervertebral fusion. One had some persistent sleep apnoea.
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causing an inability of the epiglottis to retroflex adequately during deglutition. The epiglottis then acted as an impediment to swallowing, instead of moving out of the way of the food bolus. Cervical osteophytes were one cause of pharyngeal crowding. However, pharyngeal crowding was also seen after anterior cervical spine surgery due to an increase in pharyngeal wall thickness. We therefore i...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 86 6 شماره
صفحات -
تاریخ انتشار 2004