{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T10:34:24Z","timestamp":1782902064146,"version":"3.54.5"},"reference-count":71,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T00:00:00Z","timestamp":1762560000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study investigates the efficacy of open osteophytectomy in patients with dysphagia associated with cervical osteophytes, stratified by C-spine level and presence of diffuse idiopathic skeletal hyperostosis (DISH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources:<\/jats:title>\n                    <jats:p>PubMed and ScienceDirect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods:<\/jats:title>\n                    <jats:p>We conducted a systematic review of published literature pertaining to osteophyte-related dysphagia. Patients with objective measurements of dysphagia severity who underwent an open surgical approach for osteophytectomy were included. Demographics, symptomatology, and patient outcomes were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 44 articles with 214 cases (mean age\u2009=\u200967, 85% male) were included. Outcomes after osteophytectomy were analyzed in DISH vs non-DISH groups, as well as stratified by demographics and cervical levels affected. Patients with osteophytes at or above C4 were more likely to demonstrate pre-operative aspiration (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.018). Short- and long-term outcomes among patients with DISH and non-DISH osteophytes were similar (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.269 and .476). Outcomes among patients with osteophytes at or above C4, at or below C4, and diffuse presentations were also similar. Among all cases, 84% of patients experienced significant short-term initial improvement in their dysphagia. At long-term follow-up, 82% of patients had continued significant improvement in their dysphagia outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Open surgical approaches for osteophytectomy demonstrate good short- and long-term efficacy. Patients with osteophytes at or above C4 were more likely to aspirate pre-operatively, but osteophyte level, age, sex, and presence of DISH did not impact likelihood of operative success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894251383821","type":"journal-article","created":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T12:30:01Z","timestamp":1762605001000},"page":"177-188","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Outcomes of Open Osteophytectomy in Dysphagia Related to Cervical Osteophytes: A Systematic Review"],"prefix":"10.1177","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8585-2956","authenticated-orcid":false,"given":"Raj","family":"Malhotra","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8408-5381","authenticated-orcid":false,"given":"Hamza","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4529-5853","authenticated-orcid":false,"given":"Joseph","family":"Celidonio","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keshav","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Suresh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-008-0669-6"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1998.tb02757.x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.2.1740449"},{"key":"e_1_3_3_5_2","volume-title":"Diffuse Idiopathic Skeletal Hyperostosis","author":"Luo TD","year":"2024","unstructured":"Luo TD, Varacallo M. 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