Anterior cervical osteophyte dysphagia: manofluorographic and functional outcomes after surgery.
BACKGROUND
Our aim was to investigate the clinical and manofluorographic findings of patients with anterior cervical osteophyte (ACO) dysphagia before and after surgery.


METHODS
Chart review including manofluorography (MFG) data of patients undergoing ACO removal was undertaken.


RESULTS
Thirteen patients underwent transcervical ACO removal over a 10-year period. A postoperative hematoma was the only surgical complication. Overall, there was a significant postoperative decrease in Functional Outcome Swallowing Scale (FOSS). MFG data showed an elevated preoperative intrabolus pressure gradient across the osteophyte (IB-Gra), 39.78 mm Hg, and IB-Gra significantly decreased to 19 mm Hg 6 months after surgery.


CONCLUSIONS
Functional (FOSS) and objective MFG (IB-Gra) improvements occurred in patients who had ACO dysphagia and underwent surgery. These findings support high IB-Gra as a reliable objective indicator for surgical intervention for ACO dysphagia and IB-Gra as an appropriate parameter for follow-up after ACO removal. In selected patients, ACO removal by anterolateral-transcervical approach is a safe and highly effective treatment.
Ozgursoy
Ozan B
OB
Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic Florida, Jacksonville, FL 32224, USA. ozgursoy.ozan@mayo.edu
Salassa
John R
JR
Reimer
Ronald
R
Wharen
Robert E
RE
Deen
Hugh G
HG
D000368:Aged; D000369:Aged, 80 and over; D002574:Cervical Vertebrae / Q000601:surgery*; D003413:Cricoid Cartilage / Q000502:physiology; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007013:Hypopharynx / Q000502:physiology; D008297:Male; D008365:Manometry; D008875:Middle Aged; D012189:Retrospective Studies; D013128:Spinal Osteophytosis / Q000150:complications / Q000601:surgery*; D014059:Tongue / Q000502:physiology