Diffuse idiopathic skeletal hyperostosis in pharyngolaryngeal pathology

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Abstract

Abstract The objective of this review is to summarize specialty data regarding possible manifestations of diffuse idiopathic skeletal hyperostosis in general otorhinolaryngology practice in order to increase awareness of this entity. Research on the topic was based on consulting specialty books, electronic databases like PubMed, Scopus (Elsevier), Web of Science, Research Gate, Up-to-date and also, on clinical experience. Even though asymptomatic in most patients and many times found during cervical pain investigations or by accident, this overlooked disorder, in rare cases, may cause two of the main complains in practice, dysphagia and dyspnea.

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Diffuse idiopathic skeletal hyperostosis: clinical features and pathogenic mechanisms.

Reuven Mader, Jorrit-Jan Verlaan, Dan Buskila (2013)

Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic condition characterized by the ossification and calcification of ligaments and entheses. DISH is observed on all continents and in all races, but most commonly in men over 50 years of age. Although DISH is asymptomatic in most individuals, the condition is often an indicator of underlying metabolic disease, and the presence of spinal or extraspinal ossifications can sometimes lead to symptoms including pain, stiffness, a reduced range of articular motion, and dysphagia, as well as increasing the risk of unstable spinal fractures. The aetiology of DISH is poorly understood, and the roles of the many factors that might be involved in the development of excess bone are not well delineated. The study of pathophysiological aspects of DISH is made difficult by the formal diagnosis requiring the presence of multiple contiguous fully formed bridging ossifications, which probably represent advanced stages of DISH. In this Review, the reader is provided with an up-to-date discussion of the epidemiological, aetiological and clinical aspects of DISH. Existing classification criteria (which, in the absence of diagnostic criteria, are used to establish a diagnosis of DISH) are also considered, together with the need for modified criteria that enable timely identification of early phases in the development of DISH.

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The prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in two large American Midwest metropolitan hospital populations.

H Griffiths, D D Maki, Thomas Olson … (1997)

There are no published large-scale studies of the overall prevalence of diffuse idiopathic skeletal hyperostosis (DISH) and it has been proposed that the prevalence is greater than previously reported. We thus decided to review chest radiographs in a population of patients over 50 years of age seen at two large but differing metropolitan hospitals in a major American Mid-west city. The posterior-anterior and lateral chest radiographs of 1363 patients were reviewed for evidence of DISH at the University of Minnesota Hospital and Clinic. There were 500 consecutive inpatient admissions, 540 consecutive patients who attended the outpatient clinics and 326 patients collected from our film archive. A population of 1001 patients seen at Hennepin County Medical Center was also studied. It was possible to subclassify this latter group with respect to race. Using strict criteria, i.e., four or more levels involved, the overall prevalence of DISH in the male population over age 50 years was 25% and in the female population over age 50 years was 15%. This prevalence climbed to 28% in males over 80 years and to over 35% in males over age 70 years. In females over 80 years, the prevalence was found to be 26%. Although our population base was small, DISH was found to be less common in the black, Native-American and Asian populations. The prevalence of DISH was also found to be far lower in a similar white population with osteoporosis. The overall prevalence of DISH was higher than expected in a predominantly white population over age 50 years with a lesser incidence in the black, Native-American and Asian populations, suggesting a genetic origin of the condition.

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Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction.

Jorrit-Jan Verlaan, Petronella F.E. Boswijk, Jacob de Ru … (2011)

Diffuse idiopathic skeletal hyperostosis (DISH) is a common but underdiagnosed condition relating to ossification of spinal ligaments that can cause compression of the esophagus and trachea. According to case reports, dysphagia or airway obstruction resulting from DISH is a rare occurrence. This study was intended to identify all published cases of dysphagia and/or airway obstruction resulting from DISH to increase the epidemiologic/clinical knowledge of these related conditions. A systematic review of the literature was performed. The articles resulting from the systematic PubMed/EMBASE search of the literature were closely read, and predefined parameters were scored. The search yielded a total of 118 articles (95 case reports and 23 case series) describing 204 patients with dysphagia and/or airway obstruction resulting from DISH. The number of cases demonstrated a steady increase from 1980 to 2009. This might be a real effect not ascribable to publication bias or expansion of the medical literature alone. Diffuse idiopathic skeletal hyperostosis as a cause of dysphagia and/or airway obstruction may be an increasing and underappreciated phenomenon. Diffuse idiopathic skeletal hyperostosis should be included in the differential diagnosis of dysphagia and airway obstruction. Copyright © 2011 Elsevier Inc. All rights reserved.

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Journal

Journal ID (publisher-id): ijm

Title: Iberoamerican Journal of Medicine

Abbreviated Title: Iberoam J Med

Publisher: Hospital San Pedro (Logroño, La Rioja, Spain )

ISSN (Print): 2695-5075

ISSN (Electronic): 2695-5075

Publication date (Print and electronic): 2020

Volume: 2

Issue: 4

Pages: 331-334

Affiliations

[3] Bucharest orgnameInstitute of Phonoaudiology and Functional ENT Surgery “Prof. Dr. D. Hociotă” Rumania

[2] Bucharest orgnameClinical Emergency Hospital “Sf. Pantelimon” Rumania

[1] Bucharest orgnameUniversity of Medicine and Pharmacy “Carol Davila” Rumania

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Publisher ID: S2695-50752020000400013 Publisher ID: S2695-5075(20)00200400013

DOI: 10.5281/zenodo.3922107

SO-VID: e597ee33-2877-4d79-9b1c-132385a8fba4

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This work is licensed under a Creative Commons Attribution 4.0 International License.

History

Date received : 26 May 2020

Date accepted : 26 June 2020

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Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 4

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Diffuse idiopathic skeletal hyperostosis in pharyngolaryngeal pathology

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Most cited references 31

Diffuse idiopathic skeletal hyperostosis: clinical features and pathogenic mechanisms.

The prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in two large American Midwest metropolitan hospital populations.

Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction.

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