• The Laryngoscope · Feb 2006

    Case Reports

    Stridor and dysphagia in diffuse idiopathic skeletal hyperostosis (DISH).

    • Dominic M Castellano, John T Sinacori, and Daniel W Karakla.
    • Department of Otolaryngology Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA.
    • Laryngoscope. 2006 Feb 1; 116 (2): 341-4.

    AbstractAs otolaryngologists, we are the first consulted for stridor and dysphagia. One must consider both extrinsic and intrinsic etiologies in the differential diagnosis of these symptoms. We report a series of patients with diffuse idiopathic skeletal hyperostosis (DISH) who presented with stridor or dysphagia. We describe the initial presenting symptoms, physical examination/radiographic findings, and discuss the management options. Traditional teaching is that surgery is rarely indicated for DISH of the cervical spine. Recommendations regarding the role of surgery as well as a review of our surgical experience are discussed.

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