Nasopharynx

Endoscopic view of obstructing nasopharyngeal cysts (Tornwaldt's cysts)

September 30, 2007     Dewey A. Christmas Jr., MD; Eiji Yanagisawa, MD, FACS; Joseph P. Mirante, MD, FACS
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A 66-year-old man was referred to us for evaluation of unusual masses of the nasopharynx, which had been found on magnetic resonance imaging (MRI) as part of a workup for constant nasal congestion and recurring headaches.

Endoscopic view of a nasopharyngeal tumor

June 30, 2007     Dewey A. Christmas Jr., MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS
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A 75-year-old man presented with left nasal congestion and severe left ear pain. His symptoms had persisted for a few weeks despite treatment with several medications prescribed by his primary care physician. The patient's history included successful radiation therapy for right maxillary sinus cancer 7 years earlier.

 

Tornwaldt's cyst: Incidence and a case report

January 1, 2007     Marcus W. Moody, MD; David H. Chi, MD; John C. Mason, MD; C. Douglas Phillips, MD; Charles W. Gross, MD; Rodney J. Schlosser, MD
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The prevalence of colonization with drug-resistant pneumococci among adult workers in children's daycare

January 1, 2007     Frederick S. Rosen, MD; Matthew W. Ryan, MD
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Endoscopic view of a hypermobile tongue in the nasopharynx

August 31, 2006     Adam J. LeVay, MD; Eiji Yanagisawa, MD
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An unusual cause of nasal obstruction: A hair clip in the nasopharynx

April 1, 2006     Sandeep Berry, MRCS; Huey Tay, FRCS
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Review of nasopharyngeal carcinoma

March 1, 2006     Anita Jeyakumar, MD; Todd M. Brickman, MD; Alwin Jeyakumar, MD; Timothy Doerr, MD
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Abstract
We review the literature on nasopharyngeal carcinoma that has been published within the past 5 years. Nasopharyngeal carcinoma is a highly morbid disease, and survival is poor. Its management remains extremely difficult, not just for otolaryngologists but for radiation oncologists and medical oncologists, as well. A clear understanding of its etiology is still lacking, but nasopharyngeal carcinoma is widely suspected to be the result of both a genetic susceptibility and exposure to environmental factors or Epstein-Barr virus infection. With no clear cause, treatment is controversial. For example, an optimal radiation regimen has not been determined, reports in the literature regarding the role of chemotherapy for advanced disease are conflicting, and treatment of local recurrences is unsettled. Still, advances in immunologic research and chemotherapy offer hope for better control of the disease. We hope that our assessment of the recent literature will provide otolaryngologists with a more clear understanding of the etiology and management of nasopharyngeal carcinoma.

An alternative to a postnasal pack for the arrest of perioperative hemorrhage following curettage adenoidectomy

December 1, 2005     Julian Savage, MRCS; Albert Pace-Balzan, FRCS
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Abstract
Controlling bleeding with standard postnasal packing following curettage adenoidectomy is only occasionally warranted. Children find the packing experience unpleasant, and removal of the packing usually requires general anesthesia. We describe a simple technique for packing the nasopharynx with bilateral nasal tampons via an anterior approach. The tampons are much easier to insert than standard packing, they are well tolerated while in place, and they can be easily removed with perhaps only some light sedation rather than general anesthesia.

Nasopharyngeal teratoma in an adult

August 31, 2005     Chan Meng Lim, MBBS; Chi-Shern Bernard Ho, MBBS; Kenny Peter Pang, MRCS; Siok Bian Ng, FRCPA; Hood Keng Christopher Goh, FRCS
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Sialadenoma papilliferum involving the nasopharynx

July 31, 2005     Jason Hamilton, MD; Ryan F. Osborne, MD; Lorraine M. Smith, MD
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Nasopharyngeal carcinoma

June 30, 2005     Lester D.R. Thompson, MD
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Nasopharyngeal carcinoma with axillary node involvement as a component of failure following chemoradiotherapy

March 1, 2005     Christopher M. Lee, MD; Cherie J. Hayostek, MD; Thomas M. Abbott, MD; Peter B. Hathaway, MD; Gordon A. Watson, MD, PhD
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Abstract
We describe the treatment course and imaging correlations in a patient with a unique case of undifferentiated nasopharyngeal carcinoma with axillary lymph node involvement as a component of failure following chemoradiotherapy. To our knowledge, this is the only such case reported in the literature. A preliminary diagnosis of axillary node involvement was based on both positron-emission tomography and computed tomography; these findings were subsequently confirmed by pathologic review following dissection of the node. This case represents a rare presentation of a recurrent nasopharyngeal carcinoma and illustrates the importance of a comprehensive physical examination and correlation with imaging modalities when following these patients over time.
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