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Issue: Vol. 71 No. 76 (2026)
Section: Articles
DOI: 10.60137/tmhvn.v71i76.336
Date Published: 30/06/2026
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Bui, K. D., & Nguyen, N. H. (2026). RELATIONSHIP BETWEEN CERVICAL SPINE DISEASE AND ENT. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 71(76), 27-35. https://doi.org/10.60137/tmhvn.v71i76.336

RELATIONSHIP BETWEEN CERVICAL SPINE DISEASE AND ENT

Khac Duc Bui1, Ngoc Ha Nguyen2,
1 Bộ môn ngoại cột sống trường ĐHYD ĐHQG Hà Nội.
2 Bộ môn Tai Mũi Họng, trường ĐHYD ĐHQG Hà Nội.

Main Article Content

Abstract

Background:
Cervical spine disorders have traditionally been studied in the context of musculoskeletal and neurological systems. However, emerging evidence suggests a close relationship between cervical spine pathology and otorhinolaryngologic symptoms, including tinnitus, vertigo, dysphagia, and referred otalgia.


Objectives:
To analyze and summarize the current literature regarding the relationship between cervical spine diseases and ear, nose, and throat (ENT) manifestations.


Methods:
A systematic review was conducted using databases including PubMed, Scopus, and Google Scholar from 2015 to 2025. Relevant studies investigating the association between cervical spine lesions and ENT symptoms were selected and analyzed, focusing on clinical presentation, vascular and neural mechanisms, diagnostic approaches, and interdisciplinary treatment strategies.


Results:
Multiple studies confirmed that cervical spine degeneration, disc herniation, and vertebral artery insufficiency can cause ENT-related symptoms. The main mechanisms involve vertebrobasilar ischemia, altered cervical proprioception, and neural pathway irritation. Symptoms such as tinnitus, vertigo, referred ear pain, and dysphagia were frequently reported. Clinical improvement was observed when cervical pathology was treated.


Conclusions:
Cervical spine diseases can produce or exacerbate ENT symptoms through vascular, neural, and proprioceptive pathways. A multidisciplinary approach involving otolaryngologists, neurologists, and spine specialists is essential for accurate diagnosis and effective management.

Keywords

Cervical spine, ENT symptoms, tinnitus, dizziness, vertebral artery, cervicogenic vertigo

Article Details

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