Pharynx

The 'sentinel clot' sign in spontaneous retropharyngeal hematoma secondary to parathyroid apoplexy

August 31, 2006     George Koulouris, FRANZCR; Marcus Pianta, MBBS; Stephen Stuckey, FRANZCR
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Abstract
Spontaneous retropharyngeal hemorrhage from a cervical parathyroid adenoma is a rare complication of primary hyperparathyroidism. Because of its rarity, it has seldom been documented in the radiologic or ENT literature. Patients may present with a variety of manifestations, ranging from dysphagia to dysphonia to life-threatening dyspnea or hemorrhage. Awareness of a possible thyroid or parathyroid etiology may expedite treatment and prevent unnecessary interventions. We present a case of spontaneous retropharyngeal hemorrhage in which the "sentinel clot" sign enabled us to identify the lesion of origin.

Fibrous dysplasia in the retropharyngeal area

June 30, 2006     Muharrem Gerceker, MD; Ozan Bagis Ozgursoy, MD; Atilla Erdem, MD; Cemil Ekinci, MD
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Abstract
More fibro-osseous lesions originate in the bones of the extremities than in the craniomaxillofacial bones, scapula, and ribs, which are rarely involved. Fibro-osseous lesions that decrease the quality of life should be treated surgically. We report the case of a fibro-osseous lesion that caused globus pharyngeus and dysphagia. We discuss the clinical, radiologic, and histopathologic features of this case as well as the removal of this unusual lesion by Doppler ultrasound-guided surgery. To the best of our knowledge, no other case of a fibro-osseous lesion in the retropharyngeal area has been reported in the literature.

Kimura's disease of the parapharyngeal space

February 1, 2006     Christopher Goh Hood Keng, FRCS, FAMS; Kenny Peter Pang, FRCS, MMed, FAMS; Poh Wee Teng, FRCPA, FAMS
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Abstract
Kimura's disease is a fairly uncommon inflammatory con-dition of unknown etiology. It classically presents in young Asian males as tumorlike subcutaneous nodules in the head and neck with associated lymphadenopathy, peripheral eosinophilia, and an elevated serum IgE level. Kimura's disease affects the subcutaneous tissues, salivary glands, and lymph nodes; less common sites in the head and neck include the eyelid and tympanic membrane. We report a case of Kimura's disease of the parapharyngeal space in a 42-year-old Chinese woman. To the best of our knowledge, this is the first report of Kimura's disease at this site.

Spontaneous retropharyngeal and cervical emphysema: A rare singer's injury

November 1, 2005     Neville P. Shine, AFRCS; Peter Lacy, MD; Brendan Conlon, MD; Donald McShane, FRCS
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Abstract
Spontaneous retropharyngeal and cervical emphysema is rare. We describe a case that was unusual in its etiology: the result of singing. Although this condition is usually benign, hospital admission for close observation and supportive therapy is prudent.

Impacted pharyngeal fish bone migrating to the retropharynx

November 1, 2005     David A. Lehman, MD; Frank C. Astor, MD; Soham Roy, MD
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Biphasic synovial sarcoma of the posterior pharyngeal wall: A case report

April 30, 2005     Frank O. Agada, DLO, FRCS (Edin.); Justin Murphy, MRCS; Ravi Sharma, FRCS (Edin.), FRCS (ORL-HNS); Laszlo Karsai, MD, MRCPath; Nick D. Stafford, FRCS
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Abstract
Synovial sarcoma is not common in the head and neck region. Because its histopathologic features are many and varied, it is often misdiagnosed. We report a case of biphasic synovial sarcoma of the posterior pharyngeal wall, and we discuss the clinical and pathologic features of this case.

Dysphagia following anterior cervical fusion

April 1, 2005     Susan G. Butler, PhD, CCC-SLP; Gregory N. Postma, MD; Stacey L. Halum, MD
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Visualization of the hyoid bone with laryngeal endoscopy

January 1, 2005     Adam D. Rubin, MD; Amy Lebowitz, MS; Robert T. Sataloff, MD, DMA
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Normal pharyngeal and upper esophageal sphincter manometry

December 1, 2004     Gregory N. Postma, MD; Susan G. Butler, PhD, CCC-SLP; Peter C. Belafsky, MD, PhD; Stacey L. Halum, MD
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Aggressive fibromatosis of the parapharyngeal space: Two cases and treatment recommendations

April 1, 2004     Kenneth W. Sanders, MD; Marjorie R. Fowler, MD; Joseph Milner, MD; Fred J. Stucker, MD, FACS; Cherie-Ann O. Nathan, MD, FACS
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