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Surgical Management of Dysphagia Due to Anterior Cervical Osteophytes

Erdur, Ömer MD; Taşli, Hamdi MD; Polat, Bahtiyar MD; Sofiyev, Fuad MD; Tosun, Fuat MD; Çolpan, Bahar MD; Birkent, Hakan MD; Öztürk, Kayhan MD

Journal of Craniofacial Surgery: January 2017 - Volume 28 - Issue 1 - p e80–e84
doi: 10.1097/SCS.0000000000003241
Brief Clinical Studies
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Purpose: The present study was performed to share personal experiences and to discuss the advantages and disadvantages of anterior cervical osteophytes surgical procedures.

Methods: The operative records of anterior cervical osteophytes patients who did not benefit from conventional treatments and underwent osteophytectomy were analyzed retrospectively. Transoral and transcervical anterolateral methods were applied, considering both the localization of the osteophyte and the patient's preference.

Results: Five patients were operated with the transcervical anterolateral method, and 3 patients were operated with the transoral procedure. Those using the transcervical method were likely to encounter complications, however, being comfortable for patients. Although the transoral procedure is much safer, the patients may face postoperative pain, long healing time, and morbidities as hematoma, cervical instability, and infection after surgery.

Conclusions: Both transcervical and transoral methods will improve the functional swallowing pathologies and decrease aspiration-penetration. Transoral approach is not recommended due to slow healing times and postoperative pain, although it creates easier access to the spine.

*Department of Otorhinolaryngology, Head and Neck Surgery, Selçuk University Faculty of Medicine, Konya

Department of Otorhinolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy Ankara, Ankara

Department of Otorhinolaryngology, Head and Neck Surgery, Gelibolu Military Hospital, Gelibolu, Turkey.

Address correspondence and reprint requests to Bahtiyar Polat, MD, Department of Otolaryngology, Gelibolu Military Hospital, Gelibolu, 17500 Çanakkale, Turkey; E-mail: bahtiyarpolat@hotmail.com

Received 12 July, 2016

Accepted 31 August, 2016

The authors report no conflicts of interest.

© 2017 by Mutaz B. Habal, MD.