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Transoral Endoscopic Resection of High Cervical Osteophytes with Long-Term Symptom Resolution: Case Series, Imaging, and Literature Review.
- Source :
-
World neurosurgery [World Neurosurg] 2018 Dec; Vol. 120, pp. 240-243. Date of Electronic Publication: 2018 Sep 05. - Publication Year :
- 2018
-
Abstract
- Background: Anterior cervical osteophytes (ACOs) are a common radiologic finding in the elderly; rarely, they can cause dysphagia, dysphonia, and dyspnea. Symptomatic ACOs are most commonly found between C4 and C7 and much less commonly at higher cervical levels. Here, we present a case series, with an example case of a 57-year-old woman with high cervical osteophytes at C1-C2 causing globus sensation, dysphagia, and dysphonia. Additionally, we provide a literature review regarding the causes, diagnosis, and treatment of ACOs, with a focus on management of high ACOs.<br />Case Description: A 57-year-old smoker with a history of chronic neck pain and previous cervical spinal instrumentation presented with several months of globus sensation, dysphagia, and dysphonia. Imaging revealed 2 large anterior osteophytes at C1-C2. She underwent endoscopic transoral osteophytectomy, with resolution of symptoms. Five other patients are also presented who underwent similar procedures.<br />Conclusions: ACOs are a potential cause of dysphagia, and their diagnosis is best made with computed tomographic imaging and oropharyngeal swallow study. Although high ACOs at C1-C2 are a rare finding, here we show with an exemplary case and small case series that they can be effectively treated with transoral endoscopic osteophytectomy.<br /> (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Subjects :
- Cervical Vertebrae diagnostic imaging
Deglutition Disorders diagnostic imaging
Deglutition Disorders etiology
Deglutition Disorders surgery
Female
Follow-Up Studies
Humans
Interdisciplinary Communication
Intersectoral Collaboration
Magnetic Resonance Imaging
Middle Aged
Oropharynx diagnostic imaging
Oropharynx surgery
Postoperative Complications diagnostic imaging
Postoperative Complications surgery
Spinal Fusion
Tomography, X-Ray Computed
Cervical Vertebrae surgery
Endoscopy methods
Spinal Osteophytosis diagnostic imaging
Spinal Osteophytosis surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1878-8769
- Volume :
- 120
- Database :
- MEDLINE
- Journal :
- World neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 30193964
- Full Text :
- https://doi.org/10.1016/j.wneu.2018.08.188