title: The management of dysphasia in skeletal hyperostosis.
abstract: Diffuse idiopathic skeletal hyperostosis (DISH), or Forestier's disease, is an ossifying condition frequently encountered in otolaryngology as it affects 12-28 per cent of the adult population. This form of hyperostosis can manifest clinically with dysphagia, food impaction, hoarseness, stridor, myelopathies and other neurological problems. Judicious management of severe dysphagia proves challenging. The failure of conservative care often leaves surgery as the only option. In this report an anterolateral transcervical surgical approach to the confluent osteophytes is discussed and the value of videofluoroscopic swallow highlighted.
authors.affiliation: Department of Speech and Swallowing Therapy, Royal National Throat Nose and Ear Hospital, London, UK.
authors.forename: S
authors.initials: S
authors.lastname: Akhtar
authors.forename: P E
authors.initials: PE
authors.lastname: O'Flynn
authors.forename: A
authors.initials: A
authors.lastname: Kelly
authors.forename: P M
authors.initials: PM
authors.lastname: Valentine
mesh_terms: D000368:Aged; D001466:Barium Sulfate; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D018450:Disease Progression; D005471:Fluoroscopy; D006801:Humans; D004057:Hyperostosis, Diffuse Idiopathic Skeletal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male
chemical_list: D001466:Barium Sulfate