Diffuse idiopathic skeletal hyperostosis: an uncommon complication in head and neck surgery

Authors

  • Felipe A. Bustos Head and Neck Unit, Instituto Nacional del Cancer, Santiago, Chile
  • Felipe A. Capdeville Department of Surgery, Clinica Alemana de Santiago, Santiago, Chile
  • Daniel A. Rappoport Department of Surgery, Clinica Alemana de Santiago, Santiago, Chile Department of Surgery, Hospital Clínico de la Universidad de Chile, Santiago, Chile
  • Luis F. Zanolli Department of Otorhinolaryngology, Clinica Alemana de Santiago, Santiago, Chile
  • Fabio Valdes Department of Surgery, Clinica Alemana de Santiago, Santiago, Chile
  • Hugo E. Rojas Department of Surgery, Clinica Alemana de Santiago, Santiago, Chile
  • Jose M. Contreras Department of Otorhinolaryngology, Clinica Alemana de Santiago, Santiago, Chile
  • Giancarlo Schiappacasse Department of Radiology, Clinica Alemana de Santiago, Santiago, Chile
  • Arturo J. Madrid Department of Surgery, Clinica Alemana de Santiago, Santiago, Chile

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20210691

Keywords:

Forestier syndrome, Hyperostosis, DISH

Abstract

Diffuse idiopathic skeletal hyperostosis (DISH) is a degenerative disorder of unknown etiology that most often occurs in male patients over 50. Dysphagia is its main symptom, but they can also have dyspnea, otalgia, cough, sore throat, foreign body sensation in the pharynx, sleep apnea and glottic alterations. We present a case report and review the literature about this entity. We report a case of an oral squamous cell carcinoma that received a commando surgery and tracheostomy tube. Decanulations attempts were unsuccessful initially due to DISH. Conservative management was successful and complete rehabilitation performed, achieving decannulation 18 months after surgery. DISH can be a source of many different symptoms that may appear or be exacerbated after any surgery, and produce a postoperative complication. Conservative management is usually the best treatment, leaving surgical interventions for severe symptomatic patients. The knowledge of this entity and a high level of suspicion are very important for a proper diagnosis and management.

References

Vengust R, Mihalic R, Turel M. Two different causes of acute respiratory failure in a patient with diffuse idiopathic skeletal hyperostosis and ankylosed cervical spine. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2010;19(2):130-4.

Pulcherio JOB, Velasco CMM de O, Machado RS, Souza WN de, Menezes DR de, Pulcherio JOB, et al. Forestier’s disease and its implications in otolaryngology: literature review. Braz J Otorhinolaryngol. 2014;80(2):161-6.

Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis. 1950;9(4):321-30.

Resnick D, Shaul SR, Robins JM. Diffuse idiopathic skeletal hyperostosis (DISH): Forestier’s disease with extraspinal manifestations. Radiology. 1975;115(3):513-24.

Caminos CB, Cenoz IZ, Louis CJ, Otano TB, Esáin BF, Pérez de Ciriza MTF. Forestier disease: an unusual cause of upper airway obstruction. Am J Emerg Med. 2008;26(9):1072-3.

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Published

2021-02-24

Issue

Section

Case Reports