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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...

Viral supraglottitis in an adult

February 1, 2009  |  Ali Lotfizadeh, MD and Dinesh K. Chhetri, MD

Smooth-muscle tumor of the parapharyngeal space

February 1, 2009  |  Sofia Avitia, MD, Jason Hamilton, MD, and Ryan F. Osborne, MD, FACS

Intravascular papillary endothelial hyperplasia (Masson lesion) of the hypopharynx and larynx

December 1, 2008  |  M. Güven Güvenç, MD, Levent Dereköylü, MD, Nazim Korkut, MD, Ferhan Öz, MD, and Büge Öz, MD


Masson lesion is characterized by a benign intravascular papillary hyperplasia and subsequent thrombosis. Clinically, this lesion can be misdiagnosed as mucocele, hemangioma, Kaposi sarcoma, angiosarcoma, pyogenic granuloma, and several other lesions. In this article, we report...

Head and neck manifestations of lymphogranuloma venereum

August 1, 2008  |  Diana T. Albay, MD and Glenn E. Mathisen, MD


Lymphogranuloma venereum (LGV)—caused by Chlamydia trachomatis serovars L1, L2, or L3—rarely occurs in the United States. The disease clinically manifests in three stages: primary, secondary, and tertiary. The primary manifestation, a self-limited genital ulcer at the...

Results after intensified therapy for advanced carcinoma of the hypopharynx

August 1, 2008  |  Jochen P. Windfuhr, MD, PhD, Mathias Andrae, MD, Yue-Shih Chen, MD, Hans B. Makoski, MD, Michael Schröder, MD, and Klaus Sesterhenn, MD


We conducted a retrospective chart review of 85 patients (95% male) with advanced but resectable hypopharyngeal carcinoma to evaluate the effectiveness of an intensified multimodal treatment protocol. This protocol involved concomitant chemo- and radiotherapy before and after...

An unusual case of adult airway obstruction from a lymphovenous malformation

July 1, 2008  |  Maj. Wayne J. Harsha, MD, Maj. James V. Crawford, MD, Lt. Col., and Douglas M. Sorensen, MD, FACS


Lymphatic, venous, and mixed lymphovenous malformations are low-flow lesions that are present at birth and grow proportionately with the patient. We describe an unusual presentation of a lymphovenous malformation in an adult. A 19-year-old man presented to the emergency...

Duodenogastroesophageal reflux and its effect on extraesophageal tissues: A review

April 1, 2008  |  Joel H. Blumin, MD, Albert L. Merati, MD, and Robert J. Toohill, MD


We conducted a literature review to identify elements of duodenogastroesophageal reflux (DGER)—namely pancreatic fluids, hydrochloric acid, pepsin, and bile—as to the effects each has when refluxed to the extraesophageal structures. Further, we wished to acquaint clinicians...


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