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September 1967

Osteophytes of the Cervical Spine Causing Dysphagia

Author Affiliations

USA, Fort Sam Houston, Tex
From the Otolaryngology Service, Department of Surgery, Brooke General Hospital, Brooke Army Medical Center, Fort Sam Houston, Tex.

Arch Otolaryngol. 1967;86(3):341-345. doi:10.1001/archotol.1967.00760050343017

OSTEOPHYTES and other hypertrophic changes in the cervical spine are a frequent finding, especially in people of advanced age. These spurs may be asymptomatic or may be associated with pain in the neck and arms. Local pain, radiated pain, and limitation of neck motion are well-known associated symptoms. Large spurs are frequently mentioned as a possible danger during esophagoscopy.1-3 They may mechanically obstruct the passage of the esophagoscope or may increase the risk of perforation. However, rarely are cervical osteophytes mentioned as a cause of dysphagia. The purpose of this paper is to report a case of dysphagia due to large cervical osteophytes and to discuss the management of dysphagia related to these cervical changes.

Report of a Case  A 65-year-old man, was first seen in the Otolaryngology Clinic in June 1964. One year earlier he noted the onset of dysphagia, characterized by progressive difficulty in the swallowing of

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