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      A diagnostic and therapeutic challenge involving a case of dysphagia in association with cervical osteophytosis and a dental pain

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          Abstract

          Herein, presenting a case of a 42-year-old female with the chief complaint of dysphagia. The problem was assumed to be of dental origin, due to the onset of dental pain followed by dysphagia. A cervical radiograph revealed the presence of osteophytic lipping which proved to be the cause of dysphagia. Confusing and overlapping disease entities showing similar symptoms need thorough investigation. Dysphagia related to cervical spondylosis may have a direct connection with the person's occupation. Dentistry is considered a potentially hazardous occupation with regard to musculoskeletal disorders. However, additional studies are required to understand the occupational hazards faced by dentists.

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          Hypertrophic cervical osteophytes causing dysphagia. A review.

          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.
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            Can a giant cervical osteophyte cause dysphagia and airway obstruction? A case report.

            Cervical spondylosis is a common disorder mainly affecting elderly people. It frequently presents with excessive bone formation (osteophytes). These may lead to pain and neurological deficits due to root compression. Dysphagia and airway obstruction due to a giant anterior osteophyte of the cervical spine are extremely rare. We present the case of an 81-year-old patient suffering from dysphagia and slight dyspnoea due to a giant cervical osteophyte. Osteophyte resection was performed and the patient was relieved from symptoms. This case highlights that a large cervical osteophyte may, albeit rarely, be the cause of simultaneously presenting dysphagia and dyspnoea, and should, therefore, be included in the diagnostic workup in such cases.
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              Evaluation and correction of dysphagia-producing cervical osteophytosis.

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                Author and article information

                Journal
                J Neurosci Rural Pract
                J Neurosci Rural Pract
                JNRP
                Journal of Neurosciences in Rural Practice
                Medknow Publications & Media Pvt Ltd (India )
                0976-3147
                0976-3155
                Jul-Sep 2013
                : 4
                : 3
                : 334-336
                Affiliations
                [1 ] Department of Prosthodontics, SMBT Dental College and Hospital, Amrutnagar, Sangamner, Maharashtra, India
                [2 ] Department of Endodontics, SMBT Dental College and Hospital, Amrutnagar, Sangamner, Maharashtra, India
                [3 ] Department of Orthodontics, SMBT Dental College and Hospital, Amrutnagar, Sangamner, Maharashtra, India
                [4 ] Department of Oral and Maxillofacial Surgery, SMBT Dental College and Hospital, Amrutnagar, Sangamner, Maharashtra, India
                Author notes
                Address for correspondence: Dr. Rajani A. Dable, Professor, Department of Prosthodontics, SMBT Dental College and Hospital, Amrutnagar, P.O. Sangamner, Tal: Sangamner, Dist, Ahmednagar - 422 608, Maharashtra, India. E-mail: rajnidable@ 123456hotmail.com
                Article
                JNRP-4-334
                10.4103/0976-3147.118799
                3821431
                24250178
                edf5188f-c14f-48d0-8c91-dabf1915e6fb
                Copyright: © Journal of Neurosciences in Rural Practice

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Neurosciences
                cervical pain,dentist,dysphagia,toothache
                Neurosciences
                cervical pain, dentist, dysphagia, toothache

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