scholarly journals Combination of Forestier’s disease and laryngeal cancer: a rare clinical case

2020 ◽  
Vol 10 (2) ◽  
pp. 79-84
Author(s):  
А. М. Zaytsev ◽  
А. P. Polyakov ◽  
М. V. Ratushny ◽  
Т. М. Kobyletskaya ◽  
S. А. Kisariev ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Laryngeal Cancer ◽  
Vocal Fold ◽  
Clinical Case ◽  
Anterior Commissure ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Movement Restriction ◽  
Forestier’S Disease ◽  
Swallowing Difficulties ◽  
Forestier's Disease

The objective of the scientific report is to describe a rare clinical case of a combination of Forestier’s disease (diffuse idiopathic skeletal hyperostosis) and laryngeal cancer that have common symptoms. Case report. A 68-year-old male patient presented with hoarseness lasting for a year. Indirect laryngoscopy revealed a vocal fold tumor. Histological examination confirmed well-differentiated keratinizing squamous cell carcinoma of the larynx. A 6-cm tumor was located in the projection of the right vocal fold and had no signs of invasion into the supraglottis, subglottis, and anterior commissure. No other focal disorders were detected. The patient has undergone endolaryngeal laser resection of the larynx and tracheostomy. After probe removal, the patient had swallowing difficulties with esophageal content passing to the trachea mainly due to organic changes in the cervical spine at the СЗ–С4 level, where there was a massive local calcification of the anterior longitudinal ligament. We also noticed severe movement restriction in the cervical spine: the amplitude of movements did not exceed 10°. The formation of the C3–C4 segment was removed via ventrolateral approach. Conclusion. Dysphagia, dysphonia, and dyspnea may indicate both malignant tumor and large osteophyte causing compression of the trachea and esophagus. In this case, no symptom resolution after tumor removal led to the suspicion of a second disease, namely Forestier’s disease.

Dysphonia Caused by Forestier's Disease

1988 ◽  
Vol 97 (3) ◽  
pp. 275-276 ◽  
Author(s):  
Isaac Gay ◽  
Joseph Elidan
Keyword(s):  
Ct Scan ◽  
Vertebral Body ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Mass Effect ◽  
Forestier’S Disease ◽  
Bony Mass ◽  
First Time ◽  
Forestier's Disease

A case of diffuse idiopathic skeletal hyperostosis (Forestier's disease) causing dysphonia as the presenting and only symptom is reported. The dysphonia is attributed to the mass effect in the hypopharynx and the mild pressure on the larynx. The bony mass anterior to the vertebral body is demonstrated by CT scan for the first time in the literature on Forestier's disease.

Hypertrophic cervical osteophytes causing dysphagia

1980 ◽  
Vol 53 (3) ◽  
pp. 338-344 ◽  
Author(s):  
Francis W. Gamache ◽  
Rand M. Voorhies
Keyword(s):  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Esophageal Function ◽  
Content Type ◽  
Common Disorder ◽  
Forestier’S Disease ◽  
Anterior Cervical Decompression ◽  
Cervical Osteophytes ◽  
Forestier's Disease ◽  
Fine Print

✓ Problems associated with osteophytes of the spine are frequently called to the attention of the neurosurgeon. Diffuse idiopathic skeletal hyperostosis (Forestier's disease) is a common disorder of the spine; a small but important number of these patients present with spondylitic dysphagia. Anterior cervical decompression restores esophageal function. A patient with Forestier's disease is reported, and Forestier's disease is compared and contrasted with other disorders of the spine.

scholarly journals Laryngeal Manifestation of Forestier's Disease

2016 ◽  
Vol 4 (2) ◽  
pp. 287-289 ◽  
Author(s):  
Jasmina Stojanovic ◽  
Sandra Zivanovic ◽  
Suncica Sreckovic ◽  
Svetlana Jovanovic ◽  
Branislav Belic ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Clinical Practice ◽  
Anterior Part ◽  
Spinal Column ◽  
Radiological Examination ◽  
Forestier’S Disease ◽  
Bony Mass ◽  
The Right ◽  
Forestier's Disease ◽  
Possible Cause

BACKGROUND: Forestier's disease is a rare disorder involving bony growths that can occur in various parts of the spinal column, mostly asymptomatic, but these osteophytes, very rarely have been associated with serious complications. AIM: We report a 69-year-old man who was admitted at foniatric departement for evaluation of presenting hoarseness, dysphagia and laborious breathing.CASE PRESENTATION: Noninvasive endolaryngeal imaging and radiological examination revealed distortion of left side of the larynx pushing to the right due to bony mass of the anterior part of cervical spine which was prominent at the left side. Тhе symptoms of the patient presented were caused by Forestier's disease as found by the imiging. CONCLUSIONS: In clinical practice it is advisable to take into consideration Forestier's disease as a possible cause of hoarseness and dysphagia in rare cases.

Pedal Manifestations of DISH

Foot & Ankle ◽  
1982 ◽  
Vol 3 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Elayne K. Garber ◽  
Steve Silver
Keyword(s):  
Bone Formation ◽  
Clinical Features ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Target Organ ◽  
Forestier’S Disease ◽  
Forestier's Disease

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier's disease, is an ossifying diathesis characterized by excessive bone formation at specific skeletal sites. The condition is best recognized for its spinal features. However, the tendency toward bone formation is often manifested in extraspinal locations, particularly the foot. The radiographical, pathological, and clinical features of the disorder are reviewed with special emphasis on the foot as a target organ. Abnormalities in the foot that suggest the diagnosis of DISH are emphasized.

Phonosurgical voice rehabilitation in patients with primary larynx cancer after laser cordectomy CO2

2017 ◽  
Vol 6 (1) ◽  
pp. 48-57
Author(s):  
Lech Chyczewski ◽  
Bożena Kosztyła-Hojna ◽  
Greta Berger
Keyword(s):  
Laryngeal Cancer ◽  
Vocal Fold ◽  
Speech Therapy ◽  
Anterior Commissure ◽  
Voice Quality ◽  
Life Quality ◽  
Voice Rehabilitation ◽  
Type I ◽  
Voice Preservation ◽  
Laser Cordectomy

The aim of the treatment of early laryngeal cancer is complete oncological cure and simultaneously voice and swallowing preservation. According to the European Laryngological Society (ELS) classification of CO2 laser cordectomy, full voice recovery is seen in subepithelial cordectomy (ELS Type I ) and near complete in subligamental cordectomy (ELS type II). Voice deterioration is usually seen after more extensive levels of cordectomy (ELS types III-V). Voice quality after microsurgical laser cordectomy depends on the presence or absence of synechiae in the anterior commissure and on the quantity of the removed thyro-arytenoid muscle. More extensive reduction of the vocal muscle quantity causes more intensive glottic incompetence. Contralateral healthy vocal fold, rudimentary, cicatrixial previously operated vocal fold and false ventricular folds may take part in postoperative supraglottic voice compensation. All patients should undergo speech and voice therapy after terminating the scaring process on the operated vocal fold. Patients routinely undergo a minimum of 6 months of voice rehabilitation which allows speech therapy to yield the best possible voice. Phonosurgical techniques i.e. medialization thyroplasty, augmentation techniques, Zeitels’s laryngoplasty or Lichtenberger’s technique in treatment of synechia in the anterior commissure are successfully performed to restore the vocal competence. Voice preservation after treatment of early laryngeal cancer of the vocal fold improves life quality of the patient.

Ossification of the anterior longitudinal ligament and Forestier's disease: an analysis of seven cases

1995 ◽  
Vol 83 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Randall R. McCafferty ◽  
Michael J. Harrison ◽  
Laszlo B. Tamas ◽  
Mark V. Larkins
Keyword(s):  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Scar Tissue ◽  
Cord Compression ◽  
The Body ◽  
Anterior Longitudinal Ligament ◽  
Content Type ◽  
Forestier’S Disease ◽  
Cervical Osteophytes ◽  
Occult Malignancy ◽  
Forestier's Disease

✓ A retrospective review was conducted on the records and radiographs of six symptomatic patients and one asymptomatic patient with Forestier's disease. No other series of patients with this disease is found in the neurosurgical literature. Forestier's disease, also known as diffuse idiopathic skeletal hyperostosis (DISH), is an idiopathic rheumatological abnormality in which exuberant ossification occurs along ligaments throughout the body, but most notably the anterior longitudinal ligament of the spine. It affects older men predominantly; all of our patients were men older than 60 years of age. The disease is usually asymptomatic; however, dyspnea, dysphagia, spinal cord compression, and peripheral nerve entrapment have all been documented in association with the disorder. Five of the six symptomatic patients presented with dysphagia due to esophageal compression by calcified anterior longitudinal ligaments, and one patient developed recurrent spinal stenosis when scar tissue from a previous decompressive laminectomy became calcified. All patients responded well to surgery. Two of the four patients who underwent removal of cervical osteophytes required several months following surgery for the dysphagia to resolve. This would support the hypothesis that not all cases of dysphagia in Forestier's disease are due to mechanical compression. Dysphagia may result from inflammatory changes that accompany fibrosis in the wall of the esophagus or from esophageal denervation. Evaluation of dysphagia even in the presence of Forestier's disease must rule out occult malignancy. The authors' experience suggests that dysphagia in the setting of Forestier's disease is an underrecognized entity amenable to surgical intervention.

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