Bilateral vocal fold paralysis and dysphagia secondary to diffuse idiopathic skeletal hyperostosis

Jordan J. Allensworth, Karla D. O'Dell, Joshua Schindler

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Diffuse idiopathic skeletal hyperostosis (DISH) is an idiopathic spinal disease common in the elderly and characterized by flowing ossification and osteophyte formation along the spinal column. Cervical hyperostosis is capable of producing dysphagia, stridor, and airway obstruction; however, there are no extant reports of true paralysis of bilateral vocal folds in patients fulfilling the criteria for DISH. Methods and Results: We report a case of a 61-year-old man presenting with dysphagia and dyspnea. Flexible laryngoscopy revealed bilateral true vocal fold paralysis. Cervical radiograph showed flowing ossification of the anterior longitudinal ligament with preservation of intervertebral disc height. Tracheotomy and cervical osteophytectomy were performed, after which the patient showed improved swallowing and speaking ability and was decannulated without complication. Conclusion: In the case presented, cervical osteophytectomy dramatically reversed bilateral vocal fold paralysis and dysphagia secondary to hyperostosis, thus negating the need for prolonged tracheostomy and feeding tube dependence.

Original languageEnglish (US)
Pages (from-to)E1-E3
JournalHead and Neck
Volume39
Issue number1
DOIs
StatePublished - Jan 1 2017

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Diffuse Idiopathic Skeletal Hyperostosis
Vocal Cords
Deglutition Disorders
Paralysis
Hyperostosis
Osteogenesis
Longitudinal Ligaments
Spinal Diseases
Osteophyte
Tracheotomy
Laryngoscopy
Intervertebral Disc
Tracheostomy
Respiratory Sounds
Enteral Nutrition
Airway Obstruction
Deglutition
Dyspnea
Spine

Keywords

  • dysphagia
  • Forestier disease
  • hyperostosis
  • osteophytectomy
  • vocal fold paralysis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Bilateral vocal fold paralysis and dysphagia secondary to diffuse idiopathic skeletal hyperostosis. / Allensworth, Jordan J.; O'Dell, Karla D.; Schindler, Joshua.

In: Head and Neck, Vol. 39, No. 1, 01.01.2017, p. E1-E3.

Research output: Contribution to journalArticle

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