Abstract < /h3 > < p class= " a-plus-plus " > 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 retro..."> Abstract < /h3 > < p class= " a-plus-plus " > 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 retro..." /> Abstract < /h3 > < p class= " a-plus-plus " > 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 retro..." />

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

< h3 class= " a-plus-plus " > Abstract < /h3 > < p class= " a-plus-plus " > 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 cerv ical structures. The mean age was 63 ± 13 years and 55 ± 17 years in the case and control groups, respectively ( < em class= " a-plus-plus " > p < /em > -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 ( < em class= " a-plus-plus " > p < /em > -value   & lt;  0.001). Of the patients with osteophytes and impacted FBs, 62.5 % had the FB lodged at a vertebral level corresponding to their osteophytes, while another 18.75 % had the FB within three vertebral levels above the osteophytes. Stepwise logistic regression revealed that osteophytes were a signifi cant factor, independ...
Source: Dysphagia - Category: Speech Therapy Source Type: research