Abdussamet BATUR, Mehmet Emin SAKARYA, Abdulaziz USLU

Osteophyte Arising From The Cricoid Cartilage Causing Dysphagia

Servikal kemik yapılarda dejeneratif değişiklikler sık görülmekle beraber, osteofitik oluşuma bağlı yutma güçlüğü oldukça nadir görülür. Krikoidten köken alan osteofit basısı nedeniyle yutma güçlüğü çeken 54 yaşındaki erkek hasta merkezimize başvurdu. Fizik muayenede anormallik saptanmadı. Baryumlu özofagus grafisinde, krikoid kıkırdak seviyesinde özofagusa anteriordan bası bulgusu izlendi. Etyolojiye yönelik çekilen bilgisayarlı tomografide, krikoidten köken alan spur saptandı. Yumuşak dokunun değerlendirilmesine yönelik elde edilen manyetik rezonans görüntülemede, osteofit etrafında ödem izlendi ve olası diğer yumuşak doku patolojileri ekarte edildi. Bu olguda, kridoid osteofitin radyolojik bulgularını sunmayı amaçladık

Anahtar Kelimeler:

Disfaji, krikoid kıkırdag, osteofit, paraözefagil ödem

Osteophyte Arising From The Cricoid Cartilage Causing Dysphagia

Although cervical degenerative changes is a common disorder, dysphagia induced by osteophyte formation is uncommon. We present a case of 54-year-old patient suffering dysphagia secondary to cricoidal osteophyte. Phsical examination showed no abnormality. A barium esophagography revealed anterior compression of the esophagus at the level of cricoid cartilage. A computed tomography (CT) showed a small spur originating from the cricoid. Magnetic resonance imaging (MRI) demonstrated the osteophyte-induced edema and allowed the differential diagnosis with the other causes of dysphagia. In this report, radiological features of cricoidal osteophyte is presented.

Keywords:

Dysphagia, cricoid cartilage, osteophyte, paraesophageal edema,

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Zırh TA, Öktenoğlu T, Pamir N, Özer AF, Erzen C. Diffuse idiopathic hypertrophic sclerosis causing dysphagia: a case report. Turk Norosurgery 1994;4: 89-93.
Pangal S, George J. Cervical Osteoarthropathy: an un- usual cause of dysphagia. Age Ageing (1999) 28 (3): 321-2.
Nakase H, Shın Y, Park Y, Sakakı T. Dysphagia caused by an- terior cervical osteophytes. J Nara Med Assoc 2005;56:43– 8
Beahrs OH, Schmıdt HW. Dysphagia caused by hypertro- phic changes in the cervical spine: report of two cases. Annals fo Surgery 1959; 149; 297-9
Giger R, Dulguerov P, Payer M. Anterior cervical osteo- phytes causing dysphagia and dyspnea: an uncommon en- tity revisited. Dysphagia 2006;21:259–63
McCafferty RR, Harrison MJ, Tamas LB, Larkin MV. Ossification of the longitudinal ligament and Forestier's disease: an analysis of seven cases. J Neurosurg 1995;83:13–17
Bulos S. Dysphagia caused by cervical osteophyte: report of a case. J Bone Joint Surg Br 1974;56:148–52
Çağavi F, Kalaycı M, Uğur MB, Uzun L, Asil K, Açıkgöz B. Dysphagia and diffuse idiopathic skeletal hyperostosis: case report. Turk Norosurgery Cilt: 14, Sayı: 2, 146-50, 2004.
Ido K, Hashinati M, Sakamoto A, Urushidani H. Sugical treatment for dysphagia caused by cervical hyperostosis: a report of three cases. J Orthopaed Traumatol (2002); 3:55-8
Oga M, Mashima T, Iwakuma T, et al. Dysphagia compli- cations in ankylosing spinal hyperostosis and ossification of the posterior longitudinal ligament. Roentgenographic findings of the developmental process of cervical osteo- phytes causing dysphagia. Spine 1993;18: 391–4