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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 1999 December;49(4):187-91
Forestier’s syndrome. Specialistic otolaryngologic findings
Grillo C., La Mantia I., La Boria A., Allegra E., Garozzo A.
From the ENT Department (Director: Prof. A. Serra) ENT Chair (Director: Prof. C. Grillo) University of Catania, Catania
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Dysphagia is a common complaint in otolaryngologist practice; often there are associated complaints of a foreign body sensation, odynophagia, hoarseness, cough, neck pain and decreased range of neck motion. All these symptoms can be caused by cervical DISH (Diffuse Idiopathic Skeletal Hyperostosis) also known as Forestier’s disease. Usually patients with dysphagia undergo tests such as contrast esophagogram and esophagogastroscopy before consulting the otolaryngologyst. The aim of this study is to demonstrate how the routinary performance of fiberendoscopy of the upper air-digestive ways can direct the diagnostic and therapeutic procedure, therefore remarkably reducing unnecessary inconveniences for the patient, hospitalization times and consequently waste of money. The authors present three cases of dysphagia caused by osteophytes spread from cervical spine (DISH syndrome) and compressing the lower part of the pharynx and the upper part of the larynx causing partial obstruction of the laryngeal aditus. Fiberendoscopic and cervical spine X-ray test were used to make the diagnosis and their findings, at the first visit and at the six months follow-up visit, are described.