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Anterior Cervical Osteophytes as a Cause of Pharyngeal Stage Dysphagia
Author(s) -
Granville Lisa J.,
Musson Nan,
Altman Roy,
Silverman Michael
Publication year - 1998
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1998.tb02757.x
Subject(s) - dysphagia , medicine , etiology , veterans affairs , retrospective cohort study , oropharyngeal dysphagia , swallowing , surgery , physical therapy
OBJECTIVE: To describe the association of anterior cervical osteophytes impairing epiglottic movement as an etiology of pharyngeal stage dysphagia. DESIGN: A retrospective chart review. SETTING: An academic affiliated Veterans Affairs Medical Center. PATIENTS: Veterans 60 years of age or older referred to speech pathology for dysphagia evaluation. RESULTS: Of 376 veterans evaluated consecutively since 1990, 40 patients had dysphagia determined to be secondary to cervical bony protuberances. The evaluation and management of three cases with functional consequences at level C3–5 with no dysphagia etiology present are described. CONCLUSION: Cervical osteophytes need to be considered in the differential diagnosis of dysphagia in older people. J Am Geriatr Soc 46:1003–1007, 1998 .