Forestier病6例の検討

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  • 柴田 大
    川崎医科大学総合医療センター 耳鼻咽喉科 川崎医科大学 耳鼻咽喉科学
  • 福辻 賢治
    川崎医科大学総合医療センター 耳鼻咽喉科 川崎医科大学 耳鼻咽喉科学
  • 田中 麻理子
    川崎医科大学総合医療センター 耳鼻咽喉科 川崎医科大学 耳鼻咽喉科学
  • 秋定 健
    川崎医科大学総合医療センター 耳鼻咽喉科 川崎医科大学 耳鼻咽喉科学
  • 原田 保
    川崎医科大学 耳鼻咽喉科学

書誌事項

タイトル別名
  • Six Cases of Forestier’s Disease
  • Forestierビョウ 6レイ ノ ケントウ

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<p>Forestier’s disease is an unexplained extensive ossification of the anterior longitudinal ligament running along the anterior aspect of the vertebral bodies, a condition also referred to as ankylosing spinal hyperostosis. In the field of otorhinolaryngology, it is known to be associated with the sensation of a foreign body in the pharynx and dysphagia and can manifest as hoarseness, difficulty breathing, and other symptoms. We conducted a clinical review of 6 cases of Forestier’s disease treated at our hospital and found that all 6 cases were elderly men; 3 of these men had dysphagia. No clear difference in the extent or thickness of the hyperostosis was seen between those with and those without dysphagia. Treatment included follow-up and/or medication in the 3 patients without dysphagia and dysphagia rehabilitation after an assessment of swallowing function using video fluorography in the remaining 3 patients with dysphagia. Surgery was also considered in one of the latter 3 patients but was not feasible because of comorbidities. Nevertheless, all 3 patients with dysphagia had a favorable clinical course with ongoing dysphagia rehabilitation. Forestier’s disease commonly affects the elderly and thus is likely to coexist with a decrease in swallowing function and other age-related conditions. Appropriate treatment options should be selected for individual cases based on an adequate patient assessment.</p>

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