A Forgotten reason of dysphagia “Forestier syndrome”

Forestier syndrome or diffuse idiopathic skeletal hyperostosis is a chronic disease characterized by diffuse formation ofosteophytes on the spine that increase with age and occur as a result of enchondral ossification of paravertebral ligaments and muscles. The exact etiology of disease is not known. It is more common in males and usually it occurs over sixty-five years of age. Stiffness, limitation of movement, and spinal pain is seen frequently in patients. Foreign body sensation in the throat, odynophagia, disphagia, hoarseness, stridor, obstructive sleep apnea, and otalgia can be found according to location and size of the pathology. Exact diagnosis can be reached with radiological imaging methods. In early stage and symptomatic cases, physiotherapy, training, and medical treatment may be sufficient. In patients with advanced disease who do not benefit from these treatments, surgery can be performed.

PDF

___

Aslan G, Hamzaoğlu A. Forestier's disease and dysphagia. KBB Forum 2007;6(1):33-6.
Aydin E, Akdogan V, Akkuzu B, Kirbaş I, Ozgirgin ON. Six cases of Forestier syndrome, a rare cause of dysphagia. Acta Otolaryngol 2006;126(7):775-8.
Weinfeld RM, Olson PN, Maki DD, Griffiths HJ. The prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in two large American Midwest metropolitan hospital populations. Skeletal Radiol 1997;26(4):222-5.
Utsinger PD. Diffuse idiopathic skeletal hyperostosis Clin Rheum Dis 1985;11(2):325-51.
Mazieres B. Diffuse idiopathic skeletal hyperostosis (Forestier-Rotes-Querol disease): What’s new? Joint Bone Spine 2013;80(5):466-70.
Pulcherio JO, Velasco CM, Machado RS, Souza WN, Menezes DR. Forestier's disease and its implications in otolaryngology: literature review. Braz J Otorhinolaryngol 2014;80(2):161-6.
Akhtar S, O’Flynn PE, Kelly A, Valentine PM. The management of dysphasia in skeletal hyperostosis. J Laryngol Otol 2000;114(2):154-7.
Mader R. Diffuse idiopathic skeletal hyperostosis: time for a change. J Rheumatol 2008;35(3):377-9.
Yochum TR, Rowe LJ. Arthritic disorders. In: Rowe LJ, Yochum TR, eds. Essentials of skeletal radiology. 3rd edition. Philadelphia: Lippincott Williams&Wilkins; 2005. p. 990.
Resnick D, Shaul SR, Robins JM. Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations. Radiology 1975;115(3):513 24.
Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis 1950;9(4):321–30.