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Multifactorial dysphagia: Diffuse idiopathic skeletal hyperostosis and eosinophilic esophagitis
Author(s) -
Nimmons Grace,
Van Daele Douglas J.,
Hoffman Henry T.,
Rao Satish S.,
Clark Charles R.
Publication year - 2010
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20681
Subject(s) - medicine , dysphagia , eosinophilic esophagitis , diffuse idiopathic skeletal hyperostosis , swallowing , etiology , otorhinolaryngology , oropharyngeal dysphagia , radiology , pathology , surgery , disease , ossification
Swallowing is a complex, multistage event with oral, pharyngeal, and esophageal phases. A thorough clinical examination for swallowing complaints begins to differentiate whether the problem is due to anatomic, mechanical, or neurologic etiologies. Based on the clinical suspicion, additional tests may be beneficial, including fluoroscopic and direct imaging methods, and electrophysiologic measurements. A multidisciplinary approach may also be advantageous, as in this case of dysphagia from diffuse idiopathic skeletal hyperostosis and eosinophilic esophagitis, which incorporated care from otolaryngology, speech pathology, orthopedic surgery, and gastroenterology. Laryngoscope, 2010