지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 341 - 348 (8page)
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초록· 키워드
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Purpose: This study aimed to predict the surgical outcomes of diffuse idiopathic skeletal hyperostosis (DISH)-related dysphagia (DISH-phagia) and to evaluate the importance of prevertebral soft tissue thickness (PVST). Materials and Methods: In total, 21 surgeries (anterior osteophytectomy or anterior cervical decompression and fixation) were included in this study for DISH-phagia from 2003 to 2019. Clinical outcomes were assessed using the Dysphagia Outcome and Severity Scale (DOSS) preoperatively, at 1 month postoperatively, and last follow up (mean 29.5 months). PVST was measured using lateral plain radiographs. Paired t-test and Spearman’s correlation test was used to identify relationships between various PVST indices and DOSS. Results: Comparisons were made from 17 patients out of 21, in which the record had all of three measurements. The narrowest PVST preoperatively was 2.55±0.90 mm, with a DOSS score of 4.47±1.61, and that at 1 month after surgery was 5.02±2.33 mm, with a DOSS score of 6.12±1.32. At last follow up, PVST and DOSS values were 3.78±0.92 mm and 5.82±1.34, and three patients experienced symptom relapse. Significant relationships were found between PVST and DOSS at all time points: before surgery (R=0.702, p<0.001), 1 month after surgery (R=0.539, p=0.012), and last follow up (R=0.566, p=0.020). Conclusion: Surgical removal of anterior osteophytes is an effective treatment option for DISH-phagia, and PVST is a useful parameter in DISH-phagia. The goal of DISH surgery should be to remove DISH as much as possible to ensure sufficient PVST postoperatively.
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등록된 정보가 없습니다.
참고문헌 (31)
참고문헌 신청
Egerter AC / 2015 / Dysphagia secondary to anterior osteophytes of the cervical spine / Global Spine J 5:e78~e83
Mazières B / 2013 / Diffuse idiopathic skeletal hyperostosis(Forestier-Rotes-Querol disease) : what’s new / Joint Bone Spine 80:466~470
Yunoki M / 2016 / The importance of recognizing diffuse idiopathic skeletal hyperostosis for neurosurgeons: a review / Neurol Med Chir(Tokyo) 56:510~515
Taljanovic MS / 2009 / Imaging characteristics of diffuse idiopathic skeletal hyperostosis with an emphasis on acute spinal fractures : self-assessment module / AJR Am J Roentgenol 193(3 Suppl):S20~S24
Aydin E / 2006 / Six cases of Forestier syndrome, a rare cause of dysphagia / Acta Otolaryngol 126:775~778
Mazières B / 2013 / Diffuse idiopathic skeletal hyperostosis(Forestier-Rotes-Querol disease) : what’s new / Joint Bone Spine 80:466~470
Yunoki M / 2016 / The importance of recognizing diffuse idiopathic skeletal hyperostosis for neurosurgeons: a review / Neurol Med Chir(Tokyo) 56:510~515
Taljanovic MS / 2009 / Imaging characteristics of diffuse idiopathic skeletal hyperostosis with an emphasis on acute spinal fractures : self-assessment module / AJR Am J Roentgenol 193(3 Suppl):S20~S24
Aydin E / 2006 / Six cases of Forestier syndrome, a rare cause of dysphagia / Acta Otolaryngol 126:775~778
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