Cervical Osteophytes Increase the Risk for Foreign Body Impaction: A 171-Patient Case-Control Study

Autor: Yonatan Lahav, Meital Adi, Doron Halperin, Hagit Shoffel-Havakuk, Oded Cohen, Sharon Cahanovitc, Yaara Haimovich
Rok vydání: 2016
Předmět:
Zdroj: Dysphagia. 31(6)
ISSN: 1432-0460
Popis: The aim of this study is to define the relationship between anatomical and pathological cervical structures and the impaction of ingested foreign bodies (FBs). The effects of such structures on deglutition have been previously discussed, however their contribution to FB impaction has not yet been examined. This was a retrospective case–control study of 171 patients who underwent computed tomography (CT) scans over the period 2008–2014: 57 patients with an esophageal or hypopharyngeal FB; the other 114 comprised the control group, selected using the ‘neighbor control’ method. CT scans were reviewed for measurements of cervical structures. The mean age was 63 ± 13 years and 55 ± 17 years in the case and control groups, respectively (p-value = 0.003). Age was the only demographic or clinical characteristic which demonstrated a significant difference. Overall, 24 patients had cervical osteophytes: 28 %(16) with an impacted FB, compared with 7 %(8) from the control group (p-value
Databáze: OpenAIRE