{"id":"76bc7a5c-c43f-4dae-867b-d4707a58dea3","slug":"progressive-dysphagia-and-dysphonia-secondary-to-dish-related-anterior-cervical-osteophytes-a-case-report","title":"Progressive dysphagia and dysphonia secondary to DISH-related anterior cervical osteophytes: A case report","authors":["Manoj Kumar","Prem Bahadur Shahi","Nitin Adsul","Shankar Acharya","K. L. Kalra","R. S. Chahal"],"abstract":"Background: Dysphagia due to diffuse idiopathic skeletal hyperostosis (DISH)-related anterior cervical osteophytes is not uncommon. However, this rarely leads to dysphonia and/or dysphagia along with life- threatening airway obstruction requiring emergency tracheotomy. Case Description: A 56-year-old male presented with progressive dysphagia and dysphonia secondary to DISH-related anterior osteophytes at the C3–C4 and C4–C5 levels. The barium swallow, X-ray, magnetic resonance imaging, and computed tomography scans confirmed the presence of DISH. Utilizing an anterior cervical approach, a large beak-like osteophyte was successfully removed, while preserving the anterior annulus. After clinic-radiological improvement, the patient was discharged with a soft cervical collar and nonsteroidal anti-inflammatory drug (NSAID). Conclusion: Large anterior osteophytes in Forestier disease/DISH may cause dysphagia and dysphonia. Direct anterior resection of these lesions yields excellent results as long as other etiologies for such symptoms have been ruled out.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/76bc7a5c-c43f-4dae-867b-d4707a58dea3/featured/hero-1781563520035.png","publishDate":"2020-04-18T00:00:00.000Z","doi":"10.25259/SNI_61_2020","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/04/9968/SNI-11-69.pdf"}