Bilateral Vocal Fold Motion Impairment Associated With Diffuse Idiopathic Skeletal Hyperostosis.

IF 1.8 Q2 OTORHINOLARYNGOLOGY
OTO Open Pub Date : 2024-08-30 eCollection Date: 2024-07-01 DOI:10.1002/oto2.70003
Diego E Razura, Elizabeth A Shuman, Michael M Johns, Karla O'Dell
{"title":"Bilateral Vocal Fold Motion Impairment Associated With Diffuse Idiopathic Skeletal Hyperostosis.","authors":"Diego E Razura, Elizabeth A Shuman, Michael M Johns, Karla O'Dell","doi":"10.1002/oto2.70003","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical courses and interventions of symptomatic patients with bilateral vocal fold motion impairment (BVFMI) attributed to diffuse idiopathic skeletal hyperostosis (DISH).</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Single Institution Academic Health Center.</p><p><strong>Methods: </strong>Retrospective chart review of patients ≥18 years old evaluated and treated for symptomatic BVFMI secondary to DISH between February 2021 and March 2023. A literature review was conducted.</p><p><strong>Results: </strong>A total of 4 cases were identified. All patients were male and had symptomatic BVFMI attributed to cervical spine DISH, as seen on imaging. Symptoms ranged from life-threatening dyspnea to breathy dysphonia in addition to dysphagia. Each patient was offered surgery for DISH. Two patients underwent osteophyte removal at the C5-C6 level with improved vocal fold (VF) mobility, breathing, and voice quality. Two patients elected serial observation as voice, swallow, and airway symptoms were manageable. The literature review showed a male-dominant (100%) presentation with an average of 70 years of age. Hypertension (45%) and diabetes mellitus (36%) were the most common comorbidities. Most patients were treated surgically (55%).</p><p><strong>Conclusion: </strong>Both surgical and conservative interventions may be considered for symptomatic relief and improvement in VF mobility on a patient-to-patient basis. Further study is warranted to investigate the etiology and treatment outcomes in these cases.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362610/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"OTO Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/oto2.70003","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To describe the clinical courses and interventions of symptomatic patients with bilateral vocal fold motion impairment (BVFMI) attributed to diffuse idiopathic skeletal hyperostosis (DISH).

Study design: Retrospective cohort study.

Setting: Single Institution Academic Health Center.

Methods: Retrospective chart review of patients ≥18 years old evaluated and treated for symptomatic BVFMI secondary to DISH between February 2021 and March 2023. A literature review was conducted.

Results: A total of 4 cases were identified. All patients were male and had symptomatic BVFMI attributed to cervical spine DISH, as seen on imaging. Symptoms ranged from life-threatening dyspnea to breathy dysphonia in addition to dysphagia. Each patient was offered surgery for DISH. Two patients underwent osteophyte removal at the C5-C6 level with improved vocal fold (VF) mobility, breathing, and voice quality. Two patients elected serial observation as voice, swallow, and airway symptoms were manageable. The literature review showed a male-dominant (100%) presentation with an average of 70 years of age. Hypertension (45%) and diabetes mellitus (36%) were the most common comorbidities. Most patients were treated surgically (55%).

Conclusion: Both surgical and conservative interventions may be considered for symptomatic relief and improvement in VF mobility on a patient-to-patient basis. Further study is warranted to investigate the etiology and treatment outcomes in these cases.

与弥漫性特发性骨质增生症相关的双侧声带褶皱运动障碍
研究目的描述弥漫性特发性骨骼发育不良(DISH)引起的双侧声带运动障碍(BVFMI)症状患者的临床病程和干预措施:研究设计:回顾性队列研究:研究设计:回顾性队列研究:对2021年2月至2023年3月期间因DISH继发症状性BVFMI而接受评估和治疗的年龄≥18岁的患者进行回顾性病历审查。结果:共发现 4 个病例:结果:共发现 4 例病例。所有患者均为男性,影像学表现为颈椎 DISH 引起的无症状 BVFMI。症状从危及生命的呼吸困难到吞咽困难的呼吸性发音障碍。每位患者都接受了 DISH 手术治疗。两名患者接受了 C5-C6 水平的骨质增生切除术,声带(VF)活动度、呼吸和声音质量均有所改善。由于嗓音、吞咽和气道症状尚可控制,两名患者选择了连续观察。文献综述显示,患者以男性为主(100%),平均年龄为 70 岁。高血压(45%)和糖尿病(36%)是最常见的合并症。大多数患者接受了手术治疗(55%):结论:根据患者的具体情况,手术和保守治疗均可缓解症状并改善室颤活动度。有必要进一步研究这些病例的病因和治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
OTO Open
OTO Open Medicine-Surgery
CiteScore
2.70
自引率
0.00%
发文量
115
审稿时长
15 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信