Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte
Objective To investigate swallowing characteristics of patients with dysphagia caused by anterior cervical osteophytes (ACOs) and compare clinical courses according to treatment options. Methods A retrospective analysis of 1,866 videofluoroscopic swallowing studies (VFSS) of patients with ACOs from...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2019-02-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-2019-43-1-27.pdf |
| _version_ | 1797707375614885888 |
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| author | Hee Eun Choi Geun Yeol Jo Woo Jin Kim Hwan Kwon Do Jun Koo Kwon Se Heum Park |
| author_facet | Hee Eun Choi Geun Yeol Jo Woo Jin Kim Hwan Kwon Do Jun Koo Kwon Se Heum Park |
| author_sort | Hee Eun Choi |
| collection | DOAJ |
| description | Objective To investigate swallowing characteristics of patients with dysphagia caused by anterior cervical osteophytes (ACOs) and compare clinical courses according to treatment options. Methods A retrospective analysis of 1,866 videofluoroscopic swallowing studies (VFSS) of patients with ACOs from electronic medical records was performed. Patients with other diseases that could explain the dysphagia were excluded. Dysphagia characteristics and severity and clinical and radiological characteristics of subjects with ACOs were evaluated. Dysphagia characteristics and clinical course were compared among three treatment groups: surgical treatment, swallowing rehabilitation, and conservative treatment. Results Subjects were 22 men and 1 woman with a mean age of 78.69±8.01 years. The mean osteophyte thickness was 9.07±3.84 mm. It was significantly thicker in the surgical group than that in other groups (p=0.01). ACOs were most frequently found at C5 level. This level also had the thickest osteophytes. However, videofluoroscopic dysphagia scales (VDS) were not significantly different among the three treatment groups. The pharyngeal phase score of the VDS was significantly higher in the surgical group (p=0.041). Dysphagia severity was decreased significantly in the surgical group at 3 months after the initial VFSS (p=0.004). Conclusion The main swallowing characteristics in patients with ACOs were dysphagia features of the pharyngeal phase, including inappropriate airway protection, decreased laryngeal elevation, and reduced epiglottis inversion. When determining treatment options, it may be helpful to consider dysphagia severity at pharyngeal phase and osteophyte thickness. |
| first_indexed | 2024-03-12T06:06:27Z |
| format | Article |
| id | doaj.art-1e4cf1f2c88c4db09fd6697a6e8e271d |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T06:06:27Z |
| publishDate | 2019-02-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-1e4cf1f2c88c4db09fd6697a6e8e271d2023-09-03T03:35:05ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532019-02-01431273710.5535/arm.2019.43.1.274061Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical OsteophyteHee Eun ChoiGeun Yeol JoWoo Jin KimHwan Kwon DoJun Koo KwonSe Heum ParkObjective To investigate swallowing characteristics of patients with dysphagia caused by anterior cervical osteophytes (ACOs) and compare clinical courses according to treatment options. Methods A retrospective analysis of 1,866 videofluoroscopic swallowing studies (VFSS) of patients with ACOs from electronic medical records was performed. Patients with other diseases that could explain the dysphagia were excluded. Dysphagia characteristics and severity and clinical and radiological characteristics of subjects with ACOs were evaluated. Dysphagia characteristics and clinical course were compared among three treatment groups: surgical treatment, swallowing rehabilitation, and conservative treatment. Results Subjects were 22 men and 1 woman with a mean age of 78.69±8.01 years. The mean osteophyte thickness was 9.07±3.84 mm. It was significantly thicker in the surgical group than that in other groups (p=0.01). ACOs were most frequently found at C5 level. This level also had the thickest osteophytes. However, videofluoroscopic dysphagia scales (VDS) were not significantly different among the three treatment groups. The pharyngeal phase score of the VDS was significantly higher in the surgical group (p=0.041). Dysphagia severity was decreased significantly in the surgical group at 3 months after the initial VFSS (p=0.004). Conclusion The main swallowing characteristics in patients with ACOs were dysphagia features of the pharyngeal phase, including inappropriate airway protection, decreased laryngeal elevation, and reduced epiglottis inversion. When determining treatment options, it may be helpful to consider dysphagia severity at pharyngeal phase and osteophyte thickness.http://www.e-arm.org/upload/pdf/arm-2019-43-1-27.pdfDeglutition disordersOsteophyteHyperostosisFluoroscopySurgical procedures |
| spellingShingle | Hee Eun Choi Geun Yeol Jo Woo Jin Kim Hwan Kwon Do Jun Koo Kwon Se Heum Park Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte Annals of Rehabilitation Medicine Deglutition disorders Osteophyte Hyperostosis Fluoroscopy Surgical procedures |
| title | Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte |
| title_full | Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte |
| title_fullStr | Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte |
| title_full_unstemmed | Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte |
| title_short | Characteristics and Clinical Course of Dysphagia Caused by Anterior Cervical Osteophyte |
| title_sort | characteristics and clinical course of dysphagia caused by anterior cervical osteophyte |
| topic | Deglutition disorders Osteophyte Hyperostosis Fluoroscopy Surgical procedures |
| url | http://www.e-arm.org/upload/pdf/arm-2019-43-1-27.pdf |
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