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Pharynx

Transoral removal of a large parapharyngeal space neurofibroma with the Harmonic Scalpel

July 14, 2014  |  Marcel Marjanovic Kavanagh, MD; Zlatko Sabol, MD, PhD, MSc; Sasa Janjanin, MD, PhD; Drago Prgomet, MD, PhD

Abstract

We report the case of a 19-year-old man with neurofibromatosis type 1 who presented for evaluation of odynophagia, left-sided hemiparesis, multiple café au lait spots all over his body, and numerous subcutaneous and cutaneous neurofibromas. Imaging revealed the presence of two...

Retropharyngeal pseudoabscess manifesting in nephrotic syndrome

May 8, 2014  |  Shirish Johari, DLO, MRCSEd, DOHNS(Edin); Pankaj Handa, MD, MRCP(Ire), FAMS; Jin Keat Siow, MD, MBBS, FRCSEd

Abstract

We describe a case of nephrotic syndrome that manifested as a retropharyngeal pseudoabscess. The patient was a 32-year-old man who presented with a short history of throat discomfort and a choking sensation. Laryngoscopy identified bulging of the posterior pharyngeal wall that...

Descending necrotizing mediastinitis: A conservative approach

March 19, 2014  |  Sriram Iyer, MRCP; Joseph Collum, MRCP; Marta Babores, FRCP

Abstract

Descending necrotizing mediastinitis (DNM) is a now-rare complication of dental and pharyngeal infections. Reports in the literature have emphasized the need for early, aggressive surgical intervention. We present a case of DNM with bilateral empyemas that arose secondary to a...

Multilevel treatment of moderate and severe obstructive sleep apnea with bone-anchored pharyngeal suspension sutures

August 22, 2013  |  Eric E. Berg, MD; Frederick Bunge, MD; and John M. DelGaudio, MD

Abstract

Success rates for the surgical treatment of obstructive sleep apnea (OSA) vary, with phase I surgical success ranging from 40 to 75%. Pharyngeal suspension suture procedures are minimally invasive techniques with a reported efficacy of 20 to 78%. We conducted a study to...

A systematic review of proton-pump inhibitor therapy for laryngopharyngeal reflux

August 22, 2013  |  Uchechukwu C. Megwalu, MD

Abstract

The author performed a MEDLINE literature search to identify and evaluate all randomized, placebo-controlled trials of the treatment of laryngopharyngeal reflux (LPR) with an oral proton-pump inhibitor (PPI) that have been published since 1966. Eight such trials that included a...

Intrapharyngeal schwannoma in a pediatric patient

June 12, 2013  |  Nader Nassif, MD; Mariaelisabetta Cottelli, MD; Davide Farina, MD; and Marco Berlucchi, MD

Abstract

Schwannomas are benign peripheral nerve neoplasms that arise from Schwann cells. They usually occur in the adult population. The most common site in the head and neck region is the parapharyngeal space. Intrapharyngeal schwannomas are extremely rare, and those that have been...

The effect of chronic obstructive pulmonary disease on laryngopharyngeal sensitivity

September 7, 2012  |  Nicola A. Clayton, MScMed, BAppSc; Giselle D. Carnaby-Mann, MPH, PhD; Matthew J. Peters, MD; Alvin J. Ing, MBBS, MD

Abstract

Patients with chronic obstructive pulmonary disease (COPD) may be at increased risk of aspiration secondary to impaired swallow function. One possible cause of this impairment is a reduction in laryngopharyngeal sensitivity. The relationship between COPD and...

Acute candidal pharyngolaryngitis

July 5, 2012  |  Andrew Mallon, DO; Rima A. DeFatta, MD; Robert T. Sataloff, MD, DMA, FACS

Use of inhaled steroids has been identified as a risk factor for the development of laryngeal candidiasis. Therefore, if dysphonia, cough, and general laryngeal irritation occur in a patient using inhaled steroids, the possibility of laryngeal candidiasis should be considered.

Percutaneous injection pharyngoplasty for the treatment of a pharyngocele

February 18, 2012  |  Amanda Hu, MD, FRCSC and Albert L. Merati, MD, FACS

Unusual parapharyngeal acinic cell carcinoma

January 25, 2012  |  Jeremy Nguyen, MD, Enrique Palacios, MD, FACR, Elorice Horam, MD, and Harold Neitzschman, MD, FACR

An unusual case of a ballpoint pen migrating into the parapharyngeal space and middle mediastinum

November 22, 2011  |  Grace H. Kim, MD, Eugene P. Snissarenko, MD, and Paul D. Kim, MD

Abstract

Foreign bodies that penetrate the esophagus and migrate extraluminally are unusual. If they are left untreated, serious complications arise from mediastinitis, and damage to the major structures in the neck can occur. We report a case of a patient who presented with chest pain...

Hypopharyngeal perforation: An unusual complication of transesophageal echocardiography

November 22, 2011  |  David Bakhos, MD, Jean-Phillippe Cottier, MD, PhD, Patrice Beutter, MD, and Sylvain Morinière, MD, PhD

Abstract

Physicians frequently use transesophageal echocardiography (TEE) for clinical cardiology and during surgery. It is considered a safe procedure, and only a few cases of complications have been reported in the literature. We present the case of a 78-year-old man who experienced a...

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