윤상인두근 기능부전과 광범위특발골격뼈형성과다증으로 인한 연하곤란 환자의 치료: 증례 보고
A Case of Dysphagia due to Cricopharyngeal Dysfunction and Diffuse Idiopathic Skeletal Hyperostosis
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Cricopharyngeal dysfunction is a disorder in which excessive tension in the upper esophageal sphincter occurs leads to dysphagia. Diffuse idiopathic skeletal hyperostosis is a disease in which excessive bone formation is widely observed in various parts of the body including the cervical spine. This case report shows a dysphagia patient who had cricopharyngeal dysfunction combined with diffuse idiopathic skeletal hyperostosis. A male patient suffering from dysphagia for 4 months visited the hospital. He was examined by using a videofluoroscopic swallow study, which confirmed simultaneous cricopharyngeal dysfunction and diffuse idiopathic skeletal hyperostosis. Considering the advanced age of the patient, a botulinum toxin injection was first administered to treat his cricopharyngeal dysfunction. The patient showed partial improvement with this treatment. However, dysphagia persisted due to in-complete occlusion of the epiglottis by the anterior osteophyte. The patient was in good general condition; there-fore a partial cervical corpectomy was performed for cervical diffuse idiopathic skeletal hyperostosis. The patient showed complete recovery from dysphagia post-surgery. In conclusion, two separate treatments were individually given; a botulinum toxin injection for cricopharyngeal dysfunction and surgery for diffuse idiopathic skeletal hyper-ostosis, and each treatment was confirmed as effective.
Abstract
Cricopharyngeal dysfunction is a disorder in which excessive tension in the upper esophageal sphincter occurs leads to dysphagia. Diffuse idiopathic skeletal hyperostosis is a disease in which excessive bone formation is widely observed in various parts of the body including the cervical spine. This case report shows a dysphagia patient who had cricopharyngeal dysfunction combined with diffuse idiopathic skeletal hyperostosis. A male patient suffering from dysphagia for 4 months visited the hospital. He was examined by using a videofluoroscopic swallow study, which confirmed simultaneous cricopharyngeal dysfunction and diffuse idiopathic skeletal hyperostosis. Considering the advanced age of the patient, a botulinum toxin injection was first administered to treat his cricopharyngeal dysfunction. The patient showed partial improvement with this treatment. However, dysphagia persisted due to in-complete occlusion of the epiglottis by the anterior osteophyte. The patient was in good general condition; there-fore a partial cervical corpectomy was performed for cervical diffuse idiopathic skeletal hyperostosis. The patient showed complete recovery from dysphagia post-surgery. In conclusion, two separate treatments were individually given; a botulinum toxin injection for cricopharyngeal dysfunction and surgery for diffuse idiopathic skeletal hyper-ostosis, and each treatment was confirmed as effective.
참고문헌 (20)
- Baredes S, "The frequency of cricopharyngeal dysfunction on videofluoroscopic swallowing studies in patients with dysphagia", American Journal of Otolaryngology, 18, pp.185~189 (1997)
- Resnick D, "Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis(DISH)", Radiology, 119, pp.559~568 (1976)
- Resnick D, "Diffuse idiopathic skeletal hyperostosis(DISH) : Forestier’s disease with extraspinal manifestations", Radiology, 115, pp.513~524 (1975)
- Kritzer RO, "DISH : a cause of anterior cervical osteophyte-induced dysphagia", Spine, 13, pp.130~132 (1988)
- Kuhn MA, "Management of cricopharyngeus muscle dysfunction", Otolaryngologic Clinics of North America, 46, pp.1087~1099 (2013)
- Moerman M, "Botulinum toxin for dysphagia due to cricopharyngeal dysfunction", European archives of oto-rhino-laryngology, 259, pp.1~3 (2002)
- Zaninotto G, "The role of botulinum toxin injection and upper esophageal sphincter myotomy in treating oropharyngeal dysphagia", Journal of Gastrointestinal Surgery, 8, pp.997~1006 (2004)
- Randall DR, "Improved symptomatic, functional, and fluoroscopic outcomes following serial"series of three"double-balloon dilation for cricopharyngeus muscle dysfunction", Journal of Otolaryngology-Head & Neck Surgery, 47, pp.1~8 (2018)
- Dou Z, "The effect of different catheter balloon dilatation modes on cricopharyngeal dysfunction in patients with dysphagia", Dysphagia, 27, pp.514~520 (2012)
- Marston AP, "Treatment of oropharyngeal dysphagia secondary to idiopathic cricopharyngeal bar : surgical cricopharyngeal muscle myotomy versus dilation", American journal of otolaryngology, 37, pp.507~512 (2016)
- Kocdor P, "Cricopharyngeal dysfunction : a systematic review comparing outcomes of dilatation, botulinum toxin injection, and myotomy", The Laryngoscope, 126, pp.135~141 (2016)
- Urrutia J, "Long-term results of surgical treatment of dysphagia secondary to cervical diffuse idiopathic skeletal hyperostosis", The Spine Journal, 9, pp.e13~e17 (2009)
- Miyamoto K, "Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis", European Spine Journal, 18, pp.1652~ (2009)
- Eviatar E, "Diffuse idiopathic skeletal hyperostosis with dysphagia : a review", The Journal of Laryngology & Otology, 101, pp.627~632 (1987)
- Masiero S, "Dysphagia due to diffuse idiopathic skeletal hyperostosis : an analysis of five cases", Rheumatology International, 30, pp.681~685 (2010)
- Marks B, "Diffuse idiopathic skeletal hyperostosis causing obstructing laryngeal edema", European archives of oto-rhino-laryngology, 255, pp.256~258 (1998)
- Abdel-Aziz M, "Swallowing disorders among patients with diffuse idiopathic skeletal hyperostosis", Acta Oto-Laryngologica, 137, pp.623~626 (2017)
- Crowther J, "Dysphagia due to cervical spondylosis", The Journal of Laryngology & Otology, 99, pp.1167~1169 (1985)
- Hines K, "The Role of Cricopharyngeal Myotomy After Anterior Cervical Decompression and Fusion Operations", World Neurosurgery, 137, pp.146~148 (2020)
- Hines K, "Combined Anterior Osteophytectomy and Cricopharyngeal Myotomy for Treatment of DISH-Associated Dysphagia", Global Spine Journal, pp.2192568220967358~ (2020)