| Dysphagia and Aspiration Pneumonia Caused by Anterior Cervical Osteophyte in Elderly Patients |
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Ho-Joong Lee , Hyung-Jin Lee , Ji-Ho Yang , Hong-Jae Lee , Jin-seok Yi , Il-Woo Lee |
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Department of Neurosurgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea |
| 노인에서 발생한 경추부 전방 골극에 의한 연하장애 및 흡인성 폐렴 |
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이호중ㆍ이형진ㆍ양지호ㆍ이홍재ㆍ이진석ㆍ이일우 |
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가톨릭대학교 의과대학 대전성모병원 신경외과학교실 |
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| Abstract |
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Patients who suffer from swallowing difficulty and aspiration pneumonia owing to progressive cervical bony spur overgrowth (Forestier’s syndrome, diffuse idiopathic skeletal hyperostosis) can be cured by prompt surgery. Two patients visited clinics for swallowing difficulty and aspiration pneumonia and were operated on to reduce the mechanical burden of the bony mass. After an operation of anterior cervical approach and decompressive osteophytectomy, the two patients showed a full recovery of their swallowing difficulties and aspiration to trachea. If a patient complains of dysphagia and aspiration pneumonia, early surgery is recommended to reduce the mechanical burden which can cause distruption of the esophageal neural plexus and inflammatory changes. |
| Key Words:
Aspiration pneumoniaㆍDiffuse idiopathic skeletal hyperostosisㆍDysphagiaㆍForestier’s diseaseㆍOsteophyte |
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