Anterior cervical osteophyte dysphagia

Manofluorographic and functional outcomes after surgery

Ozan B. Ozgursoy, John R. Salassa, Ronald Reimer, Robert E. Wharen, Hugh G. Deen

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background. Our aim was to investigate the clinical and manofluorographic findings of patients with anterior cervical osteophyte (ACO) dysphagia before and after surgery. Methods. Chart review including manofluorography (MFG) data of patients undergoing ACO removal was undertaken. Results. Thirteen patients underwent transcervical ACO removal over a 10-year period. A postoperative hematoma was the only surgical complication. Overall, there was a significant postoperative decrease in Functional Outcome Swallowing Scale (FOSS). MFG data showed an elevated preoperative intrabolus pressure gradient across the osteophyte (IB-Gra), 39.78 mm Hg, and IB-Gra significantly decreased to 19 mm Hg 6 months after surgery. Conclusion. Functional (FOSS) and objective MFG (IB-Gra) improvements occurred in patients who had ACO dysphagia and underwent surgery. These findings support high IB-Gra as a reliable objective indicator for surgical intervention for ACO dysphagia and IB-Gra as an appropriate parameter for follow-up after ACO removal. In selected patients, ACO removal by anterolateral-transcervical approach is a safe and highly effective treatment.

Original languageEnglish (US)
Pages (from-to)588-593
Number of pages6
JournalHead and Neck
Volume32
Issue number5
DOIs
StatePublished - May 2010

Fingerprint

Osteophyte
Deglutition Disorders
Deglutition
Hematoma
Pressure

Keywords

  • Cervical osteophyte
  • Dysphagia
  • Functional outcome swallowing scale
  • Manofluorography
  • Surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Ozgursoy, O. B., Salassa, J. R., Reimer, R., Wharen, R. E., & Deen, H. G. (2010). Anterior cervical osteophyte dysphagia: Manofluorographic and functional outcomes after surgery. Head and Neck, 32(5), 588-593. https://doi.org/10.1002/hed.21226

Anterior cervical osteophyte dysphagia : Manofluorographic and functional outcomes after surgery. / Ozgursoy, Ozan B.; Salassa, John R.; Reimer, Ronald; Wharen, Robert E.; Deen, Hugh G.

In: Head and Neck, Vol. 32, No. 5, 05.2010, p. 588-593.

Research output: Contribution to journalArticle

Ozgursoy, OB, Salassa, JR, Reimer, R, Wharen, RE & Deen, HG 2010, 'Anterior cervical osteophyte dysphagia: Manofluorographic and functional outcomes after surgery', Head and Neck, vol. 32, no. 5, pp. 588-593. https://doi.org/10.1002/hed.21226
Ozgursoy, Ozan B. ; Salassa, John R. ; Reimer, Ronald ; Wharen, Robert E. ; Deen, Hugh G. / Anterior cervical osteophyte dysphagia : Manofluorographic and functional outcomes after surgery. In: Head and Neck. 2010 ; Vol. 32, No. 5. pp. 588-593.
@article{f46ba536d37448d98bb9204370c168ed,
title = "Anterior cervical osteophyte dysphagia: Manofluorographic and functional outcomes after surgery",
abstract = "Background. Our aim was to investigate the clinical and manofluorographic findings of patients with anterior cervical osteophyte (ACO) dysphagia before and after surgery. Methods. Chart review including manofluorography (MFG) data of patients undergoing ACO removal was undertaken. Results. Thirteen patients underwent transcervical ACO removal over a 10-year period. A postoperative hematoma was the only surgical complication. Overall, there was a significant postoperative decrease in Functional Outcome Swallowing Scale (FOSS). MFG data showed an elevated preoperative intrabolus pressure gradient across the osteophyte (IB-Gra), 39.78 mm Hg, and IB-Gra significantly decreased to 19 mm Hg 6 months after surgery. Conclusion. Functional (FOSS) and objective MFG (IB-Gra) improvements occurred in patients who had ACO dysphagia and underwent surgery. These findings support high IB-Gra as a reliable objective indicator for surgical intervention for ACO dysphagia and IB-Gra as an appropriate parameter for follow-up after ACO removal. In selected patients, ACO removal by anterolateral-transcervical approach is a safe and highly effective treatment.",
keywords = "Cervical osteophyte, Dysphagia, Functional outcome swallowing scale, Manofluorography, Surgery",
author = "Ozgursoy, {Ozan B.} and Salassa, {John R.} and Ronald Reimer and Wharen, {Robert E.} and Deen, {Hugh G.}",
year = "2010",
month = "5",
doi = "10.1002/hed.21226",
language = "English (US)",
volume = "32",
pages = "588--593",
journal = "Head and Neck",
issn = "1043-3074",
publisher = "Wiley-Liss Inc.",
number = "5",

}

TY - JOUR

T1 - Anterior cervical osteophyte dysphagia

T2 - Manofluorographic and functional outcomes after surgery

AU - Ozgursoy, Ozan B.

AU - Salassa, John R.

AU - Reimer, Ronald

AU - Wharen, Robert E.

AU - Deen, Hugh G.

PY - 2010/5

Y1 - 2010/5

N2 - Background. Our aim was to investigate the clinical and manofluorographic findings of patients with anterior cervical osteophyte (ACO) dysphagia before and after surgery. Methods. Chart review including manofluorography (MFG) data of patients undergoing ACO removal was undertaken. Results. Thirteen patients underwent transcervical ACO removal over a 10-year period. A postoperative hematoma was the only surgical complication. Overall, there was a significant postoperative decrease in Functional Outcome Swallowing Scale (FOSS). MFG data showed an elevated preoperative intrabolus pressure gradient across the osteophyte (IB-Gra), 39.78 mm Hg, and IB-Gra significantly decreased to 19 mm Hg 6 months after surgery. Conclusion. Functional (FOSS) and objective MFG (IB-Gra) improvements occurred in patients who had ACO dysphagia and underwent surgery. These findings support high IB-Gra as a reliable objective indicator for surgical intervention for ACO dysphagia and IB-Gra as an appropriate parameter for follow-up after ACO removal. In selected patients, ACO removal by anterolateral-transcervical approach is a safe and highly effective treatment.

AB - Background. Our aim was to investigate the clinical and manofluorographic findings of patients with anterior cervical osteophyte (ACO) dysphagia before and after surgery. Methods. Chart review including manofluorography (MFG) data of patients undergoing ACO removal was undertaken. Results. Thirteen patients underwent transcervical ACO removal over a 10-year period. A postoperative hematoma was the only surgical complication. Overall, there was a significant postoperative decrease in Functional Outcome Swallowing Scale (FOSS). MFG data showed an elevated preoperative intrabolus pressure gradient across the osteophyte (IB-Gra), 39.78 mm Hg, and IB-Gra significantly decreased to 19 mm Hg 6 months after surgery. Conclusion. Functional (FOSS) and objective MFG (IB-Gra) improvements occurred in patients who had ACO dysphagia and underwent surgery. These findings support high IB-Gra as a reliable objective indicator for surgical intervention for ACO dysphagia and IB-Gra as an appropriate parameter for follow-up after ACO removal. In selected patients, ACO removal by anterolateral-transcervical approach is a safe and highly effective treatment.

KW - Cervical osteophyte

KW - Dysphagia

KW - Functional outcome swallowing scale

KW - Manofluorography

KW - Surgery

UR - http://www.scopus.com/inward/record.url?scp=77951533154&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77951533154&partnerID=8YFLogxK

U2 - 10.1002/hed.21226

DO - 10.1002/hed.21226

M3 - Article

VL - 32

SP - 588

EP - 593

JO - Head and Neck

JF - Head and Neck

SN - 1043-3074

IS - 5

ER -