A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE  WITH SURGERY: A SINGLE-CENTER CASE SERIES OF  FORESTIER’S DISEASE

Dolaş İlyas; Ünal Tuğrul; Dölen Duygu; Gülsever Cafer; Dağdeviren Hüseyin; Şahin Duran; Ahmadov Tural; Sabancı Pulat; Aydoseli Aydın; Aras Yavuz; Sencer Altay

doi:https://dx.doi.org/10.26650/IUITFD.1240507

Research Article

DOI :10.26650/IUITFD.1240507 IUP :10.26650/IUITFD.1240507 Full Text (PDF)

A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE

İlyas Dolaş, Tuğrul Cem Ünal, Duygu Dölen, Cafer İkbal Gülsever, Hüseyin Emre Dağdeviren, Duran Şahin, Tural Ahmadov, Pulat Akın Sabancı, Aydın Aydoseli, Yavuz Aras, Altay Sencer

Objective: Diffuse idiopathic skeletal hyperostosis (DISH), Forestier’s disease, is a systemic disease characterized by the abnormal ossification and calcification of the paravertebral ligaments and muscles in front of the vertebral bodies. It rarely causes clinical symptoms but sometimes produces dysphagia. This study will evaluate the effectiveness of the anterior cervical approach in patients with Forestier’s disease who suffer from dysphagia.

Material and Method: In this series, a retrospective analysis was performed on five patients referred to our clinic with dysphagia. Clinical, demographic, and surgical features were evaluated.

Result: All of the cases were male. Their mean age was 63.6 (range 56-69). The involved regions were C3-4; C2-3; C6-7; C3-7; C3-D3. All the patients who have dysphagia were treated via the anterolateral cervical approach. There were no neurological deficits or complaints postoperatively. All the patients stated that they benefited from surgery.

Conclusion: Osteophyte resection by an anterolateral cervical approach is a safe and effective treatment option for dysphagia in Forestier’s disease.

Keywords: Cervical spine, diffuse idiopathic skeletal hyperostosis, dysphagia, osteophyte

DOI :10.26650/IUITFD.1240507 IUP :10.26650/IUITFD.1240507 Full Text (PDF)

DİSFAJİNİN CERRAHİ İLE TEDAVİ EDİLEBİLİR NADİR BİR SEBEBİ: FORESTİER HASTALIĞININ TEK MERKEZLİ VAKA SERİSİ

İlyas Dolaş, Tuğrul Cem Ünal, Duygu Dölen, Cafer İkbal Gülsever, Hüseyin Emre Dağdeviren, Duran Şahin, Tural Ahmadov, Pulat Akın Sabancı, Aydın Aydoseli, Yavuz Aras, Altay Sencer

Amaç: Difüz idiopatik iskelet hiperosteozu (DİİH), Forestier hastalığı, vertebra korpuslarının önündeki paravertebral ligaman ve kasların anormal kalsifikasyonu ile karakterize sistemik bir hastalıktır. Klinik semptomlara nadiren sebep olurlar ve bu semptomlar arasında disfaji bulunmaktadır.

Gereç ve Yöntem: Bu vaka serisinde, kliniğimizde disfaji ile prezente olan beş DİİH tanılı hasta retrospektif olarak incelenmiştir. Klinik, demografik ve cerrahi bilgiler hastane kayıtlarından elde edilerek değerlendirilmiştir.

Bulgular: Tüm vakalar erkek ve ortalama yaş 63,6 (56-69) idi. Etkilenen bölgelerin C3-4; C2-3; C6-7; C3-7; C3-D3 olduğu saptandı. Tüm vakalarda anterolateral servikal yaklaşım uygulandı. Postoperatif yeni şikayet ve nörolojik defisit ile karşılaşılmadı. Tüm hastalar disfaji şikayetlerinin ameliyattan sonra gerilediklerini belirttiler.

Sonuç: Anterolateral servikal yaklaşım Forestier hastalığında vertebra korpus anteriorunda bulunan osteofit rezeksiyonunda uygun ve güvenli bir seçenektir.

Keywords: Difüz idiopatik iskelet hiperosteozu, disfaji, osteofit, servikal vertebra

References

1. Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis 1950;9(4):321-30. [CrossRef] google scholar
2. Resnick D, Shaul SR, Robins JM. Diffuse idiopathic skeletal hyperostosis (DISH): Forestier’s disease with extraspinal manifestations. Radiology 1975;115(3):513-24. [CrossRef] google scholar
3. Mader R, Verlaan JJ, Buskila D. Diffuse idiopathic skeletal hyperostosis: clinical features and pathogenic mechanisms. Nat Rev Rheumatol 2013;9(12):741-50. [CrossRef] google scholar
4. Mader R, Novofastovski I, Rosner E, Adawi M, Herer P, Buskila D. Nonarticular tenderness and functional status in patients with diffuse idiopathic skeletal hyperostosis. J Rheumatol 2010;37(9):1911-6. [CrossRef] google scholar
5. Mata S, Fortin PR, Fitzcharles MA, Starr MR, Joseph L, Watts CS, et al. A controlled study of diffuse idiopathic skeletal hyperostosis. Clinical features and functional status. Medicine 1997;76(2):104-17. [CrossRef] google scholar
6. Resnick D, Shapiro RF, Wiesner KB, Niwayama G, Utsinger PD, Shaul SR. Diffuse idiopathic skeletal hyperostosis (DISH) [ankylosing hyperostosis of Forestier and Rotes-Querol]. Semin Arthritis Rheum 1978;7(3):153-87. [CrossRef] google scholar
7. Urrutia J, Bono CM. Long-term results of surgical treatment of dysphagia secondary to cervical diffuse idiopathic skeletal hyperostosis. The Spine Journal 2009;9(9):e13-7. [CrossRef] google scholar
8. Resnick D, Niwayama G. Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology 1976;119(3):559-68. [CrossRef] google scholar
9. Mader R, Verlaan JJ, Eshed I, Jacome BA, Puttini PS, Atzeni F, et al. Diffuse idiopathic skeletal hyperostosis (DISH) Maladie de Forestier 2017;3(1):e000472. [CrossRef] google scholar
10. Sarzi-Puttini P, Atzeni F. New developments in our understanding of DISH (diffuse idiopathic skeletal hyperostosis). Curr Opin Rheumatol 2004;16(3):287-92. [CrossRef] google scholar
11. Dutta S, Biswas K das, Mukherjee A, Basu A, Das S, Sen I, et al. Dysphagia due to forestier disease: three cases and systematic literature review. Indian J Otolaryngol Head Neck Surg 2014;66(Suppl 1):379. [CrossRef] google scholar
12. Nascimento FA, Gatto LAM, Lages RO, Neto HM, Demartini ZD, Koppe GL. Diffuse idiopathic skeletal hyperostosis: A review. Surg Neurol Int 2014;5(Suppl 3):S122. [CrossRef] google scholar
13. Goh PY, Dobson M, Iseli T, Maartens NF. Forestier’s disease presenting with dysphagia and dysphonia. J Clin Neurosci 2010;17(10):1336-8. [CrossRef] google scholar
14. Gamache FW, Voorhies RM. Hypertrophic cervical osteophytes causing dysphagia: A review. J Neurosurg 1980;53(3):338-44. [CrossRef] google scholar
15. Mader R. Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum 2002;32(2):130-5. [CrossRef] google scholar
16. Mader R, Verlaan JJ, Buskila D. Diffuse idiopathic skeletal hyperostosis: clinical features and pathogenic mechanisms. Nat Rev Rheumatol 2013 9:12. 2013;9(12):741-50. [CrossRef] google scholar
17. Verlaan JJ, Boswijk PFE, de Ru JA, Dhert WJA, Oner FC. Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstraction. Spine J 2011;11(11):1058-67. [CrossRef] google scholar
18. Choi HE, Jo GY, Kim WJ, Do HK, Kwon JK, Park SH. Characteristics and Clinical course of dysphagia caused by anterior cervical osteophyte. Ann Rehabil Med 2019;43(1):27-37. [CrossRef] google scholar
19. Ezzy M, Kraus T, Berkhoff S. Oesophageal stenosis caused by giant multilevel anterior cervical osteophytosis. J Surg Case Rep 2020;2020(8):rjaa166. [CrossRef] google scholar
20. Oppenlander ME, Orringer DA, la Marca F, McGillicuddy JE, Sullivan SE, Chandler WF, et al. Dysphagia due to anterior cervical hyperosteophytosis. Surg Neurol 2009;72(3):266-70. [CrossRef] google scholar
21. Seybold WD, Johnson MA, Leary WV. Perforation of the esophagus; an analysis of 50 cases and an account of experimental studies. Surg Clin North Am 1950;30(4):1155-83. [CrossRef] google scholar
22. Smith CCK, Tanner NC. The complications of gastroscopy and oesophagoscopy. Br J Surg 1956;43(180):396-403. [CrossRef] google scholar
23. Bunmaprasert T, Keeratiruangrong J, Sugandhavesa N, Riew KD, Liawrungrueang W. Surgical management of Diffuse Idiopathic Skeletal Hyperostosis (DISH) causing secondary dysphagia (Narrative review). J Ortho Surg 2021;29(3):1-9. [CrossRef] google scholar
24. Mattioli F, Ghirelli M, Trebbi M, Silvestri M, Presutti L, Fermi M. Improvement of swallowing function after surgical treatment of diffuse idiopathic skeletal hyperostosis: our experience. World Neurosurg 2020;134:e29-36. [CrossRef] google scholar
25. Scholz C, Naseri Y, Hohenhaus M, Hubbe U, Klingler JH. Long-term results after surgical treatment of diffuse idiopathic skeletal hyperostosis (DISH) causing dysphagia. J Clin Neurosci 2019;67:151-5. [CrossRef] google scholar
26. Carlson ML, Archibald DJ, Graner DE, Kasperbauer JL. Surgical management of dysphagia and airway obstruction in patients with prominent ventral cervical osteophytes. Dysphagia 2011;26(1):34-40. [CrossRef] google scholar
27. Uppal S, Wheatley AH. Transpharyngeal approach for the treatment of dysphagia due to Forestier’s disease J Laryngol Otol 1999;113(4):366-8. [CrossRef] google scholar
28. Yoshioka K, Murakami H, Demura S, Kato S, Yonezawa N, Takahashi N, et al. Surgical treatment for cervical diffuse idiopathic skeletal hyperostosis as a cause of dysphagia. Spine Surg Relat Res 2018;2(3):2017-0045. [CrossRef] google scholar
29. Yunoki M, Suzuki K, Uneda A, Okubo S, Hirashita K, Yoshino K. the importance of recognizing diffuse idiopathic skeletal hyperostosis for neurosurgeons: a review. Neurol Med Chir 2016;15;56(8):510-5. [CrossRef] google scholar

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APA

Dolaş, İ., Ünal, T.C., Dölen, D., Gülsever, C.İ., Dağdeviren, H.E., Şahin, D., Ahmadov, T., Sabancı, P.A., Aydoseli, A., Aras, Y., & Sencer, A. (2023). A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE. Journal of Istanbul Faculty of Medicine, 86(3), 211-215. https://doi.org/10.26650/IUITFD.1240507

AMA

Dolaş İ, Ünal T C, Dölen D, Gülsever C İ, Dağdeviren H E, Şahin D, Ahmadov T, Sabancı P A, Aydoseli A, Aras Y, Sencer A. A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE. Journal of Istanbul Faculty of Medicine. 2023;86(3):211-215. https://doi.org/10.26650/IUITFD.1240507

ABNT

Dolaş, İ.; Ünal, T.C.; Dölen, D.; Gülsever, C.İ.; Dağdeviren, H.E.; Şahin, D.; Ahmadov, T.; Sabancı, P.A.; Aydoseli, A.; Aras, Y.; Sencer, A. A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 86, n. 3, p. 211-215, 2023.

Chicago: Author-Date Style

Dolaş, İlyas, and Tuğrul Cem Ünal and Duygu Dölen and Cafer İkbal Gülsever and Hüseyin Emre Dağdeviren and Duran Şahin and Tural Ahmadov and Pulat Akın Sabancı and Aydın Aydoseli and Yavuz Aras and Altay Sencer. 2023. “A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE.” Journal of Istanbul Faculty of Medicine 86, no. 3: 211-215. https://doi.org/10.26650/IUITFD.1240507

Chicago: Humanities Style

Dolaş, İlyas, and Tuğrul Cem Ünal and Duygu Dölen and Cafer İkbal Gülsever and Hüseyin Emre Dağdeviren and Duran Şahin and Tural Ahmadov and Pulat Akın Sabancı and Aydın Aydoseli and Yavuz Aras and Altay Sencer. “A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE.” Journal of Istanbul Faculty of Medicine 86, no. 3 (Nov. 2024): 211-215. https://doi.org/10.26650/IUITFD.1240507

Harvard: Australian Style

Dolaş, İ & Ünal, TC & Dölen, D & Gülsever, Cİ & Dağdeviren, HE & Şahin, D & Ahmadov, T & Sabancı, PA & Aydoseli, A & Aras, Y & Sencer, A 2023, 'A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE', Journal of Istanbul Faculty of Medicine, vol. 86, no. 3, pp. 211-215, viewed 14 Nov. 2024, https://doi.org/10.26650/IUITFD.1240507

Harvard: Author-Date Style

Dolaş, İ. and Ünal, T.C. and Dölen, D. and Gülsever, C.İ. and Dağdeviren, H.E. and Şahin, D. and Ahmadov, T. and Sabancı, P.A. and Aydoseli, A. and Aras, Y. and Sencer, A. (2023) ‘A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE’, Journal of Istanbul Faculty of Medicine, 86(3), pp. 211-215. https://doi.org/10.26650/IUITFD.1240507 (14 Nov. 2024).

MLA

Dolaş, İlyas, and Tuğrul Cem Ünal and Duygu Dölen and Cafer İkbal Gülsever and Hüseyin Emre Dağdeviren and Duran Şahin and Tural Ahmadov and Pulat Akın Sabancı and Aydın Aydoseli and Yavuz Aras and Altay Sencer. “A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE.” Journal of Istanbul Faculty of Medicine, vol. 86, no. 3, 2023, pp. 211-215. [Database Container], https://doi.org/10.26650/IUITFD.1240507

Vancouver

Dolaş İ, Ünal TC, Dölen D, Gülsever Cİ, Dağdeviren HE, Şahin D, Ahmadov T, Sabancı PA, Aydoseli A, Aras Y, Sencer A. A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE. Journal of Istanbul Faculty of Medicine [Internet]. 14 Nov. 2024 [cited 14 Nov. 2024];86(3):211-215. Available from: https://doi.org/10.26650/IUITFD.1240507 doi: 10.26650/IUITFD.1240507

ISNAD

Dolaş, İlyas - Ünal, TuğrulCem - Dölen, Duygu - Gülsever, Caferİkbal - Dağdeviren, HüseyinEmre - Şahin, Duran - Ahmadov, Tural - Sabancı, PulatAkın - Aydoseli, Aydın - Aras, Yavuz - Sencer, Altay. “A RARE CAUSE OF DYSPHAGIA THAT IS TREATABLE WITH SURGERY: A SINGLE-CENTER CASE SERIES OF FORESTIER’S DISEASE”. Journal of Istanbul Faculty of Medicine 86/3 (Nov. 2024): 211-215. https://doi.org/10.26650/IUITFD.1240507

Volume 86, Issue 32023, P. 211-215

TIMELINE

Submitted	20.02.2023
Accepted	03.05.2023
Published Online	18.07.2023

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