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Pharyngeal wall differences between normal younger and older adults

April 1, 2011  |  Shervin Aminpour, MD, Rebecca Leonard, PhD, Scott C. Fuller, MS, MD, and Peter C. Belafsky, MD, PhD


Previous research has demonstrated differences in pharyngeal size and constriction between normal younger and older adults. The distance between the larynx and the hyoid bone at rest is greater in older persons, as is the anteroposterior width of the pharynx when it is...

Delayed pharyngoesophageal reconstruction with combined local and regional flaps: A case report

March 1, 2011  |  Fábio Roberto Pinto, MD, PhD and Jossi Ledo Kanda, MD, PhD


We describe an unusual technique for performing delayed pharyngoesophageal reconstruction following circumferential pharyngolaryngectomy. The patient was a 52-year-old man who underwent a circumferential pharyngolaryngectomy for the treatment of hypopharyngeal carcinoma. In...

Cervical esophageal perforation and cricopharyngeal dysfunction

March 1, 2011  |  W. Brian Helton, MD, Raman Unnikrishnan, MD, and Thomas Gal, MD, MPH


Spontaneous perforation of the esophagus is an uncommon event; when it does occur, it usually affects the thoracic esophagus. We present a rare and fatal case of spontaneous perforation of the cervical esophagus in a 68-year-old woman. We believe this rupture was related to a...

Proton pump inhibitors: Adverse effects

December 17, 2010  |  Robert T. Sataloff, MD, DMA, FACS, Editor-in-Chief
Most otolaryngologists are now aware of the importance and high incidence of laryngopharyngeal reflux (LPR), especially in patients with voice complaints. Although many controversies remain regarding optimal diagnosis and treatment, long-term therapy with acid suppression is used...

Effects of chlorhexidine/benzydamine mouth spray on pain and quality of life in acute viral pharyngitis: A prospective, randomized, double-blind, placebo-controlled, multicenter study

November 1, 2010  |  Cemal Cingi, MD, Murat Songu, MD, Ahmet Ural, MD, Muzeyyen Yildirim, MD, Nagehan Erdogmus, MD, and Cengiz Bal, MD


We conducted a prospective, randomized, double-blind, placebo-controlled, multicenter study to assess the efficacy of chlorhexidine gluconate/benzydamine HCl mouth spray for reducing pain and improving quality of life in patients with acute viral pharyngitis. Prior to...

Hypopharyngeal diverticulum formation following anterior discectomy and fusion: Case series

November 1, 2010  |  Terah J. Allis, MD, Nazaneen N. Grant, MD, and Bruce J. Davidson


Pharyngoesophageal diverticulum is a rare complication following anterior cervical discectomy and fusion (ACDF). Dysphagia is a well-documented complication associated with ACDF. It may result postoperatively from a variety of etiologies, including hardware displacement,...

Nasopharyngeal glioma causing respiratory distress in a neonate: Transoral endoscopic excision

May 1, 2010  |  Young Hak Park, MD, Sung Won Kim, MD, PhD, Seung Ho Cho, MD, and Yong Woo Choi, MD


Nasal gliomas are rare, benign, congenital midline tumors made up of heterotopic neuroglial tissue. They have the potential for intracranial extension. They are commonly seen in newborns and children, and rarely in adults. Preoperative diagnostic imaging is essential to...

Sensitivity and specificity of rapid antigen detection testing for diagnosing pharyngitis in the emergency department

April 1, 2010  |  Sezgin Sarikaya, MD, Can Aktaş, MD, Didem Ay, MD, Asli Çetin, MD, and Ferudun Celikmen, MD


Acute pharyngitis in adults is primarily a viral infection; only about 10% of cases are of bacterial etiology. Most cases of bacterial pharyngitis are caused by group A beta-hemolytic streptococci (GABHS). One laboratory method for the diagnosis of GABHS is rapid antigen...

Giant retropharyngeal abscess in an adult as a complication of acute tonsillitis: Case report

November 1, 2009  |  Cem Ozbek, MD, Safak Dagli, MD, E. Evrim Unsal Tuna, MD, Onur Ciftci, MD, and Cafer Ozdem, MD


Retropharyngeal abscess is an uncommon entity that can have severe and even fatal complications if it is not identified and treated early. Clinical and radiologic findings must be considered together prior to surgical drainage of a suspected retropharyngeal abscess. Airway...

Bean sprout impaction in the pharynx: Two cases of this unusual foreign body

September 1, 2009  |  Dulani Mendis, DOHNS, MRCS and Simon Thorne, DLO, MRCSEd


We report 2 cases of bean sprout impaction in the pharynx. To the best of our knowledge, pharyngeal impaction of a bean sprout has not been previously described in the literature. We also comment on the theoretical infective risks associated with the long-term impaction of...

Nontraumatic retropharyngeal abscess complicated by cervical osteomyelitis and epidural abscess in post-Katrina New Orleans: Four cases

July 1, 2009  |  Sabeen Faruqui, MS, Enrique Palacios, MD, Paul Friedlander, MD, Miguel Melgar, MD, PhD, Jorge Alvernia, MD, and Phillip Vaughan Parry, MD


Most retropharyngeal abscesses, including iatrogenic cases, are caused by trauma. Nontraumatic retropharyngeal abscesses usually occur secondary to infection of the retropharyngeal lymph nodes. Because these particular nodes usually disappear by the age of 4 or 5 years, a...

Malignant rhabdoid tumor of the parapharyngeal space

March 1, 2009  |  Anthony Sparano, MD, Portia Kreiger, MD, and Ken Kazahaya, MD


Malignant rhabdoid tumor has been a somewhat controversial entity since it was first described in 1978 as a possible sarcomatous variant of Wilms tumor. Eventually, however, it was found to be a distinct neoplastic tumor with histologic characteristics similar to those of...


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