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Pharynx

Acinic cell carcinoma of the posterior wall of the pharynx

April 28, 2015  |  Gökhan Erpek, MD; Ceren Günel, MD; Ibrahim Meteoğlu, MD

Abstract

Acinic cell carcinoma accounts for approximately 2 to 6% of all salivary gland tumors. It usually originates in the parotid gland; the minor salivary glands and the upper respiratory tract are involved only infrequently. We describe a case of acinic cell carcinoma of the...

Plexiform schwannoma of the posterior pharyngeal wall in a patient with neurofibromatosis 2

March 2, 2015  |  Luca Raimondo, MD; Massimiliano Garzaro, MD; Jasenka Mazibrada, MD, PhD; Giancarlo Pecorari, MD; Carlo Giordano, MD

Abstract

We report a case of plexiform schwannoma of the posterior pharyngeal wall that occurred in a 37-year-old man who had been previously diagnosed with neurofibromatosis type 2 (NF2). Plexiform schwannoma has been rarely reported in association with NF2. Moreover, as far as we know...

The harm of ham hocks: Foreign body impaction in long-standing multiple sclerosis

March 2, 2015  |  Anish Patel, MD; Jacqueline Weinstein, MD; Mandy Weidenhaft, MD; Enrique Palacios, MD, FACR

The incidence of foreign body impaction in neurologic dysfunctional swallowing, such as in multiple sclerosis (MS), has been not widely reported.

Bilateral Eagle syndrome causing dysphagia

February 2, 2015  |  Lyndsay L. Madden, DO; Roxann Diez Gross, PhD; Libby J. Smith, DO

Patients with Eagle syndrome often report symptoms that include dysphagia, otalgia, throat pain, globus sensation, facial pain, headache, taste disturbances, and dental pain that worsen with chewing, head and tongue movements, and swallowing.

Fusobacterium necrophorum in a pediatric retropharyngeal abscess: A case report and review of the literature

December 19, 2014  |  Jeffrey Cheng, MD; Andrew J. Kleinberger, MD; Andrew Sikora, MD, PhD

We present the case of a 17-year-old boy who developed a deep space neck infection following cervical trauma. He was initially managed conservatively with broad-spectrum antibiotics, but when he failed to improve clinically, he required surgical drainage. Wound cultures grew Fusobacterium...

Retropharyngeal masses in neurofibromatosis type 1: Imaging findings in 2 cases

December 19, 2014  |  Roy Riascos, MD; Jennifer Dodds, MD; Nirav Patel, MD

Neurofibromatosis type 1 (NF-1) affects mesenchymal development via multisystemic manifestations. We present 2 cases of NF-1 that manifested as a retropharyngeal mass-1 as a lateral cervical meningocele in a 60-year-old man and the other as a focal neurofibroma in a 37-year-old man. Contrast-...

Synchronous double cancers of the hypopharynx: Malignant fibrous histiocytoma and squamous cell carcinoma

October 18, 2014  |  Shao-Cheng Liu, MD; Wan-Fu Su, MD

Abstract

We report a unique case of synchronous double hypopharyngeal tumors in a 39-year-old man. The patient presented with a 1-year history of a muffled voice and mild odynophagia. Laryngoscopy detected two grossly different tumors in the hypopharynx: a malignant fibrous histiocytoma...

Transoral approach to a deep-lobe parotid tumor

October 18, 2014  |  Lyndon Gonzalez, BS; Alex Fernandez, MS; Belinda Mantle, MD

Because of their location in this potential space, parapharyngeal tumors tend to be asymptomatic and remain undetected for a long time.

Hypopharyngeal hemangioma in an adult: A case report

October 18, 2014  |  Lindsay Reder, MD; Sunil Verma, MD; Niels Kokot, MD

Abstract

Hemangiomas of the postcricoid region have been reported almost exclusively in infants and young children. Our adult patient with symptoms of dysphagia and weight loss underwent transoral CO2 laser microsurgery of a postcricoid mass, and final pathologic examination confirmed...

A transoral surgical approach to a parapharyngeal-space pleomorphic adenoma

October 18, 2014  |  Christopher Schutt, MD; Joehassin Cordero, MD, FACS

Abstract

It is relatively difficult to gain surgical access to pleomorphic adenomas of the parapharyngeal space. Since the lateral border is the mandible, gaining access to them can put several important neurovascular structures at risk. A number of surgical approaches have been...

Actinomycosis of the pharynx

September 18, 2014  |  Anna M. Lipowska, MD; Michael M. Johns III, MD

Abstract

Few cases of pharyngeal actinomycosis have been documented in the literature. We describe the case of a 67-year-old white man who presented with symptoms of dysphagia. Laryngoscopy revealed a pedunculated mass in the left posterior pharyngeal wall; an excisional biopsy...

Using a sternocleidomastoid muscle flap to prevent postoperative pharyngocutaneous fistula after total laryngectomy: A study of 88 cases

August 28, 2014  |  Masoud Naghibzadeh, MD; Ramin Zojaji, MD; Nematollah Mokhtari Amir Majdi, MD; Morteza Mazloum Farsi Baf, MD

Abstract

Complications of total laryngectomy can have serious implications for the final outcome of treatment, including pharyngocutaneous fistula. We conducted a retrospective study of surgical techniques to determine how to best prevent or decrease the incidence of pharyngocutaneous...

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