neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2025-27-2-113-119neurosurgery-1690Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEВентральные остеофиты первых двух шейных позвонков как причина дисфагии, хирургическое лечение (клиническое наблюдение)Ventral osteophytes of the first two cervical vertebrae as a cause of dysphagia, surgical treatment (clinical case)https://orcid.org/0000-0002-1755-1752НикитинА. С.NikitinA. S.

127006 Москва, ул. Долгоруковская, 4

4 Dolgorukovskaya St., Moscow 127006

https://orcid.org/0000-0001-7001-1344НанаевР. М.NanaevR. M.

Роман Мусаевич Нанаев

127006 Москва, ул. Долгоруковская, 4

Roman Musaevich Nanaev 

4 Dolgorukovskaya St., Moscow 127006

neurohero@icloud.comhttps://orcid.org/0000-0001-7256-3572КулаковО. Б.KulakovO. B.

127006 Москва, ул. Долгоруковская, 4

4 Dolgorukovskaya St., Moscow 127006

https://orcid.org/0000-0003-0857-9398ЛевченкоО. В.LevchenkoO. V.

127006 Москва, ул. Долгоруковская, 4

4 Dolgorukovskaya St., Moscow 127006

ФГБОУ ВО «Российский университет медицины» Минздрава РоссииРоссияRussian University of Medicine, Ministry of Health of RussiaRussian Federation202518082025272113119Copyright © Никитин А.С., Нанаев Р.М., Кулаков О.Б., Левченко О.В., 20252025Никитин А.С., Нанаев Р.М., Кулаков О.Б., Левченко О.В.Nikitin A.S., Nanaev R.M., Kulakov O.B., Levchenko O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1690

Цель исследования – описать клинический случай хирургического лечения дисфагии, вызванной вентральным остеофитом первых двух шейных позвонков.

Материал и методы

Материал и методы. В клиническом медицинском центре «Российский университет медицины» получила хирургическое лечение пациентка с жалобами на затруднение глотания (дисфагию) и периодическое затруднение дыхания и симптомным вентральным остеофитом первых двух шейных позвонков. С учетом расположения остеофита его удаление проведено через трансоральный доступ.

Результаты

Результаты. В течение 2 нед после операции кормление пациентка получала через назогастральный зонд. После перехода на обычное питание пациентка отметила регресс дисфагии по сравнению с дооперационным уровнем.

Заключение

Заключение. Вентральный остеофит шейного отдела позвоночника, сдавливающий пищевод и глотку, – одна из редких причин дисфагии. При локализации остеофита на атлантоаксиальном уровне трансоральный доступ позволяет полноценно резецировать остеофит и излечить пациента от дисфагии.

Aim

Aim. To describe a clinical case of surgical treatment of dysphagia caused by ventral osteophyte of the first two cervical vertebrae.

Material and methods

Material and methods. At the Russian University of Medicine (Moscow, Russia) clinical medical center, a female patient underwent surgical treatment due to complaints of difficulty swallowing (dysphagia) and periodic respiratory difficulty, and symptomatic ventral osteophytes of the first to cervical vertebrae. Considering the location of the osteophyte, it was resected through transoral access.

Results

Results. For 2 weeks after surgery, the patient received nutrition through nasogastric tube. After transitioning to normal eating, the patient noted regression of dysphagia compared to the preoperative level.

Conclusion

Conclusion. Ventral osteophyte of the cervical spine compressing the esophagus and pharynx is one of the rare causes of dysphagia. If osteophyte is located at the atlantoaxial level, transoral access allows to fully resect it and cure the patient’s dysphagia.

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The authors declare that there are no conflicts of interest present.