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“Globus Symptoms”: A Rare Case of Giant Osteochondroma of the Axis Treated with High Cervical Extrapharyngeal Approach

Background Osteochondroma is the most common primary bone tumor, composing 35% of benign bone tumors and 9% of all bone tumors; 1.3 to 4.1% of all osteochondromas originate from the spine. A rare differential diagnosis for globus symptoms is an osteochondroma originating from the anterior surface of...

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Autores principales: Wong, Ken, Bhagat, Shaishav, Clibbon, Jonothan, Rai, A. S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3854592/
https://www.ncbi.nlm.nih.gov/pubmed/24436860
http://dx.doi.org/10.1055/s-0032-1331462
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author Wong, Ken
Bhagat, Shaishav
Clibbon, Jonothan
Rai, A. S.
author_facet Wong, Ken
Bhagat, Shaishav
Clibbon, Jonothan
Rai, A. S.
author_sort Wong, Ken
collection PubMed
description Background Osteochondroma is the most common primary bone tumor, composing 35% of benign bone tumors and 9% of all bone tumors; 1.3 to 4.1% of all osteochondromas originate from the spine. A rare differential diagnosis for globus symptoms is an osteochondroma originating from the anterior surface of the axis. We describe a rare case of osteochondroma of the dens resulting in “globus symptoms” (the subjective sensation of a mass in the throat) treated with excision via the high cervical extrapharyngeal approach. Purpose To discuss the surgical management of this problem, with an emphasis on surgical approach used. The clinical history, examination, and investigations are presented and illustrated, along with clinical patient outcome. Study Design/Setting This article is a case report of a patient treated at the Department of Trauma and Orthopaedics in an active university teaching hospital. Methods Case presentation. For the discussion, we used handpicked articles, as well as MEDLINE and PubMed database searches with the keywords “C2,” “dens,” “osteochondroma,” “globus,” “extrapharyngeal approach.” Results Uncomplicated procedure. Histological analysis confirmed a benign osteochondroma with no evidence of malignancy. The patient underwent an uncomplicated postoperative recovery and was discharged 24 hours after surgery, fully ambulatory and eating and drinking well. Conclusions The high cervical retropharyngeal approach is safe and reproducible for the excision of osteochondromas or osteophytes of the upper cervical spine.
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spelling pubmed-38545922014-06-01 “Globus Symptoms”: A Rare Case of Giant Osteochondroma of the Axis Treated with High Cervical Extrapharyngeal Approach Wong, Ken Bhagat, Shaishav Clibbon, Jonothan Rai, A. S. Global Spine J Article Background Osteochondroma is the most common primary bone tumor, composing 35% of benign bone tumors and 9% of all bone tumors; 1.3 to 4.1% of all osteochondromas originate from the spine. A rare differential diagnosis for globus symptoms is an osteochondroma originating from the anterior surface of the axis. We describe a rare case of osteochondroma of the dens resulting in “globus symptoms” (the subjective sensation of a mass in the throat) treated with excision via the high cervical extrapharyngeal approach. Purpose To discuss the surgical management of this problem, with an emphasis on surgical approach used. The clinical history, examination, and investigations are presented and illustrated, along with clinical patient outcome. Study Design/Setting This article is a case report of a patient treated at the Department of Trauma and Orthopaedics in an active university teaching hospital. Methods Case presentation. For the discussion, we used handpicked articles, as well as MEDLINE and PubMed database searches with the keywords “C2,” “dens,” “osteochondroma,” “globus,” “extrapharyngeal approach.” Results Uncomplicated procedure. Histological analysis confirmed a benign osteochondroma with no evidence of malignancy. The patient underwent an uncomplicated postoperative recovery and was discharged 24 hours after surgery, fully ambulatory and eating and drinking well. Conclusions The high cervical retropharyngeal approach is safe and reproducible for the excision of osteochondromas or osteophytes of the upper cervical spine. Georg Thieme Verlag KG 2012-12-06 2013-06 /pmc/articles/PMC3854592/ /pubmed/24436860 http://dx.doi.org/10.1055/s-0032-1331462 Text en © Thieme Medical Publishers
spellingShingle Article
Wong, Ken
Bhagat, Shaishav
Clibbon, Jonothan
Rai, A. S.
“Globus Symptoms”: A Rare Case of Giant Osteochondroma of the Axis Treated with High Cervical Extrapharyngeal Approach
title “Globus Symptoms”: A Rare Case of Giant Osteochondroma of the Axis Treated with High Cervical Extrapharyngeal Approach
title_full “Globus Symptoms”: A Rare Case of Giant Osteochondroma of the Axis Treated with High Cervical Extrapharyngeal Approach
title_fullStr “Globus Symptoms”: A Rare Case of Giant Osteochondroma of the Axis Treated with High Cervical Extrapharyngeal Approach
title_full_unstemmed “Globus Symptoms”: A Rare Case of Giant Osteochondroma of the Axis Treated with High Cervical Extrapharyngeal Approach
title_short “Globus Symptoms”: A Rare Case of Giant Osteochondroma of the Axis Treated with High Cervical Extrapharyngeal Approach
title_sort “globus symptoms”: a rare case of giant osteochondroma of the axis treated with high cervical extrapharyngeal approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3854592/
https://www.ncbi.nlm.nih.gov/pubmed/24436860
http://dx.doi.org/10.1055/s-0032-1331462
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