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| A case of pharyngeal pain and dysphagia caused by diffuse idiopathic skeletal hyperostosis by ultrasound-guided acupotomy |
| LIU li1 ZONG Shaojie2 WANG Li3 ZHANG Fengshan4 LI Zhiqiang5 MENG Xiuli1▲ |
1.Department of Pain, Peking University Third Hospital, Beijing 100191, China;
2 Department of Anesthesiology, Peking University Third Hospital, Beijing 100191, China;
3.Department of Otolaryngology, Peking University Third Hospital, Beijing 100191, China;
4.Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China;
5.Depart- ment of Ultrasound, Peking University Third Hospital, Beijing 100191, China |
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Abstract Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by the presence of osteophytes on the anterolateral margin of at least four contiguous vertebral bodies. When the osteophyte is too large to pressure the esophagus, patients may appear pharyngeal pain, neck pain, dysphagia, and other clinical symptoms. This paper reports an elderly patient with cervical DISH with underlying disease. The main reasons for the patient’s medical treatment were pharyngeal pain and progressive dysphagia, the patient underwent ultrasound-guided acupotomy to release the muscular fascia in the affected area, once a week, ten times in total. After treatment, the visual analog score of patients with pharyngeal pain decreased from five points before treatment to one point after treatment, the score of eating assessment tool-10 swallowing screening scale decreased from ten points before treatment to three points after treatment, at five months of follow-up, the patient’s symptoms did not recur. The treatment process of this case showed that ultrasound-guided acupotomy release is a feasible and effective treatment for pharyngeal pain and dysphagia caused by DISH in the cervical spine.
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