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Forestier’s disease and its implications in otolaryngology: literature review✩ Doença de Forestier e suas implicações otorrinolaringológicas: revisão de literatura Hospital Central da Polícia Militar do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil Forestier’s disease affects the spinal column of primarily elderly men . It is not rare, but it is often undiagnosed and can lead to significant morbidity and mortality . When it affects the cervical spine, it can result in important otorhinolaryngological manifestations . To analyze the pharyngeal and laryngeal symptoms of the Forestier’s disease . Literature review of the Web of Knowledge, PubMed, and SciELO databases and of the ten most frequently cited journals in the field of otorhinolaryngology . Additionally, a manual search was performed for publications in the reference lists of selected articles, mostly those of a historical nature . The etiology of the disease is still unclear . Symptoms of complications are more significant than the disease itself . Dysphagia is the most common cervical symptom and has several involved mechanisms . Other symptoms are sleep apnea, pharyngeal globus, coughing, dysphonia, dyspnea, otalgia, and medullary compression . The diagnosis is verified by appropriate radiological study . Treatment is based on a conservative strategy . Patients with refractory dysphagia and respiratory impairment can be surgically treated . Forestier’s disease should be suspected in elderly patients with the major symptoms of complications, which are common in otorhinolaryngology practice and when identified, a multidisciplinary approach should be instituted as soon as possible . © 2014 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial . Published by Elsevier Editora Ltda . All rights reserved . A Doença de Forestier afeta a coluna vertebral, preferencialmente em homens idosos . Não é rara, mas é frequentemente não reconhecida e pode levar a relevante morbimortalidade . Quando acomete a coluna cervical, pode gerar importantes manifestações otorrinolaringológicas . Destacar os sintomas faringolaríngeos da doença de Forestier . Revisão da literatura nas bases de dados Web of Knowledge, PubMed e SciELO e entre os dez periódicos de maior número de citações na área de otorrinolaringologia e também busca manual por publicações nas listas de referências dos artigos selecionados, principalmente os de cunho histórico . A doença não tem etiologia clara . Os sintomas das complicações são mais exuberantes que os da doença propriamente dita . A disfagia é o sintoma cervical mais conhecido . Outros sintomas discutidos são a apneia do sono, globus faríngeo, tosse, disfonia, dispneia, otalgia reflexa e sintomas medulares compressivos . O diagnóstico é efetuado com apropriado estudo radiológico . O tratamento é baseado em estratégia conservadora . Pacientes com disfagia refratária e comprometimento respiratório podem ser submetidos a tratamento cirúrgico . A doença de Forestier deve ser suspeitada em pacientes idosos com os principais sintomas das complicações, os quais são comuns na prática otorrinolaringológica, para o início precoce de acompanhamento multidisciplinar . © 2014 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial . Publicado por Elsevier Editora Ltda . Todos os direitos reservados . Hiperostose esquelética difusa idiopática Forestier’s disease was first described by Forestier and Routes-Querol in 1950 .1 In 1975, the acronym DISH (diffuse idiopathic skeletal hyperostosis) was introduced as a descriptive name for the disease .2 The criteria necessary for the diagnosis were identified by Resnick and Niwayama, and consist of: (1) calcification and ossification along the
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