DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20210691

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

Felipe A. Bustos, Felipe A. Capdeville, Daniel A. Rappoport, Luis F. Zanolli, Fabio Valdes, Hugo E. Rojas, Jose M. Contreras, Giancarlo Schiappacasse, Arturo J. Madrid

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.


Keywords


Forestier syndrome, Hyperostosis, DISH

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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.