1/30. Necrotizing fasciitis of the pharynx following adenotonsillectomy.Necrotizing fasciitis is a rare clinical entity in the head and neck region. We report a case of necrotizing fasciitis following adenotonsillectomy in a previously healthy 2-year-old girl. The child presented in a septic state with impending airway compromise. Computed tomography (CT) showed massive soft tissue widening with air in the retropharyngeal, parapharyngeal and retromandibular spaces. Intraoperative exploration showed necrosis of the posterior pharyngeal wall from the skull base to the cricoid, with extension into the parapharyngeal and retropharyngeal spaces. Cultures from the debrided tissues grew two aerobes and three anaerobes. Management involved airway support, surgical debridement, broad spectrum antibiotic coverage and nutritional support. The patient ultimately developed nasopharyngeal and oropharyngeal stenosis requiring tracheostomy and gastrostomy tube placement. This case report highlights an extremely rare complication of adenotonsillectomy.- - - - - - - - - - ranking = 1keywords = retropharyngeal (Clic here for more details about this article) |
2/30. Suboccipital meningocele presenting as a huge retropharyngeal mass in a patient with neurofibromatosis Type 1. Case report.The authors report an extremely rare case of neurofibromatosis Type 1 (NF1) with a suboccipital meningocele presenting as a huge retropharyngeal mass. A 73-year-old woman with typical cutaneous manifestations of NF1 presented with nasal obstruction and dysphagia due to a retropharyngeal mass. magnetic resonance imaging revealed a huge mass lesion extending from the right occipital bone defect to the retropharynx through the right paravertebral region. Computerized tomography scanning after intrathecal administration of contrast material confirmed that the mass was a meningocele protruding through a right occipital bone defect. The authors attempted to ligate this meningocele, most of which was excised via a suboccipital approach, but a second transcervical operation was required. Finally, the meningocele resolved and the patient was discharged without symptoms.- - - - - - - - - - ranking = 3keywords = retropharyngeal (Clic here for more details about this article) |
3/30. Pleomorphic adenoma of the retropharyngeal space: a rare location.A case of an isolated pleomorphic adenoma of the retropharyngeal space is reported, this has not been documented previously in the literature. attention is drawn to the wide spectrum of benign and malignant neoplasms that can potentially occur within this complex anatomical region. The importance of a systematic and logical approach to the management of such lesions is emphasized.- - - - - - - - - - ranking = 2.5keywords = retropharyngeal (Clic here for more details about this article) |
4/30. Esophageal dysmotility in an adult with chronic granulomatous disease.Chronic granulomatous disease (CGD) is a group of hereditary disorders of impaired intracellular destruction of phagocytosed bacteria. Gastrointestinal manifestations are present, with hepatic abscess being the most common. In this case report, we present an adult with CGD with esophageal involvement, which has been described in only one other adult. The clinical history, modalities of diagnosis (including endoscopy, barium radiography, and esophageal manometry), and therapeutic strategies pertaining to the esophageal manifestations of CGD are discussed. A review of the pertinent available literature is provided.- - - - - - - - - - ranking = 0.00079771428688213keywords = abscess (Clic here for more details about this article) |
5/30. Retropharyngeal lipoma causing dysphagia.Lipomas of the retropharyngeal region are rare, slow-growing tumours that attain a large size before producing symptoms such as dysphagia and dyspnoea. Clinical diagnosis may be difficult. However computed tomography or magnetic resonance imaging is the investigation of choice and helps in definitive diagnosis preoperatively, although final histological confirmation is essential. Surgery is the treatment of choice. In the following paper we report a case of retropharyngeal lipoma presenting with dysphagia which was managed surgically with complete amelioration of symptoms.- - - - - - - - - - ranking = 1keywords = retropharyngeal (Clic here for more details about this article) |
6/30. Computerized tomography is not reliable in the diagnosis of brainstem infection.The case of a 17-year-old girl who presented with a two-day history of absolute dysphagia secondary to a bulbar palsy due to a pre-pontine abscess is described. Rigid oesophagoscopy was normal and a neurology consultation suggested a central cause for her dysphagia. However the diagnosis was delayed because a computed tomography (CT) scan of her brain and brainstem was reported as normal. A subsequent magnetic resonance image (MRI) scan revealed a pre-pontine abscess. CT scanning is not as reliable as MRI in the diagnosis of infective lesions of the brainstem/brain, especially early in the course of the infection.- - - - - - - - - - ranking = 0.0015954285737643keywords = abscess (Clic here for more details about this article) |
7/30. Esophageal tuberculosis abscess: an unusual cause of dysphagia.Primary esophageal tuberculosis is extremely rare. It is almost always secondary to tuberculosis of other organs. abscess formation of the tuberculosis in the esophageal wall has not been reported in the literature previously. In this report, we present a case of esophageal tuberculosis abscess, with presented dysphagia, diagnosed by histologic evaluation of surgery specimen, without any other organ involvement. The unusual cause and the interesting clinical course of dysphagia are described.- - - - - - - - - - ranking = 0.0039885714344107keywords = abscess (Clic here for more details about this article) |
8/30. Anticoagulation and spontaneous retropharyngeal hematoma.A 57-year-old man treated with Coumadin for an episode of paroxysmal atrial fibrillation presented to the Emergency Department with progressive dysphagia and odynophagia. physical examination revealed a large right-sided lateral and posterior pharyngeal wall mass. Laboratory studies were significant for an international normalized ratio (INR) of 5.4 with a white blood cell count of 11,600/muL and a hematocrit of 33.2%. A lateral soft tissue radiograph and computed tomography (CT) scan of the neck demonstrated a retropharyngeal hematoma compromising the airway. Rapid reversal of the coagulopathy was achieved with fresh frozen plasma and vitamin k. patients with space-occupying retropharyngeal masses present a significant management dilemma. The choice between observation, intubation, or a surgical airway intervention must rely upon knowledge of the natural course and high rate of airway occlusion when faced with a patient who presents with a retropharyngeal hematoma. Once symptoms of airway compromise manifest, the airway must be expeditiously secured before complete obstruction occurs. This diagnosis should be sought when an anticoagulated patient presents with upper airway symptoms.- - - - - - - - - - ranking = 3.5keywords = retropharyngeal (Clic here for more details about this article) |
9/30. Spontaneous pneumomediastinum presenting with retropharyngeal emphysema.Spontaneous pneumomediastinum is a rare condition that may follow increases in intrathoracic pressure. patients may present with symptoms isolated to the head and neck. Although this condition is usually benign, there are other potentially fatal conditions, which often present similarly and clinically are difficult to differentiate from this entity. Despite this condition being described in the thoracic and medical literature, very little is found in the otolaryngological literature. This article reports 4 cases in which presenting symptoms were limited to the head and neck and otolaryngologists were the initial consultants. This highlights the need for otolaryngologists to be aware of this clinical entity.- - - - - - - - - - ranking = 2keywords = retropharyngeal (Clic here for more details about this article) |
10/30. A case of granulocytic sarcoma during complete remission of acute myeloid leukemia with multiple masses involving the larynx and nasopharynx.A thirty-seven-year-old male patient presented with dysphagia and hoarseness six months after complete remission of acute myeloid leukemia (AML-M0), which had been treated with chemotherapy. physical examination revealed left vocal cord paralysis and involvement of the 9th, 10th, and 12th cranial nerves. Sagittal and axial magnetic resonance scans of the nasopharynx and neck showed a mass in the left retropharyngeal and perivertebral regions, 6x4 cm in size; another mass in the left vallecula, and infiltration of the right preepiglottic tissue by another mass of 2 cm. There was no bone marrow involvement. A diagnosis of granulocytic sarcoma without leukemia relapse was made and the FLAG-Ida regimen was administered, after which partial regression of the masses was observed. However, the patient died due to a pulmonary infection on the 17th day of chemotherapy.- - - - - - - - - - ranking = 0.5keywords = retropharyngeal (Clic here for more details about this article) |
| | Next -> |