1/25. Cervical osteoarthropathy: an unusual cause of dysphagia.PRESENTATION: A 72-year-old man complained of progressive dysphagia for solids associated with a sensation of foreign body in his throat for 2 years. A barium swallow showed a bridging osteophyte between C4 and C5 vertebrae indenting the oesophagus posteriorly and displacing it anteriorly. OUTCOME: He refused surgical intervention and was given dietary advice. After 6 months, his weight was steady and he was able to swallow semi-solid food without difficulty.- - - - - - - - - - ranking = 1keywords = throat (Clic here for more details about this article) |
2/25. Ortner's syndrome in association with mitral valve prolapse.The case of an 83-year-old woman with a history of hypertension, valvular heart disease, atrial fibrillation, and cardiomegaly is presented. The patient also had progressive hoarseness of her voice and intermittent dysphagia. Ear, nose, and throat examination revealed left vocal cord paralysis. echocardiography revealed severely dilated left (LA) and right atria (RA), moderate mitral regurgitation, severe tricuspid regurgitation, and prolapse of both these valves. A review of literature of Ortner's or cardiovocal syndrome is presented. Ortner's syndrome due to mitral valve prolapse has not been reported previously.- - - - - - - - - - ranking = 1keywords = throat (Clic here for more details about this article) |
3/25. Glossal palpation of the eustachian tube cushion: an unusual cause of globus sensation.Globus sensation, the sensation of a lump in the throat, is a common symptom which, in its chronic form, accounts for 4% of first-patient visits to ENT clinics. We describe a rare cause of globus sensation and stress the importance of thorough investigation to exclude any possible organic causes.- - - - - - - - - - ranking = 1keywords = throat (Clic here for more details about this article) |
4/25. Oropharyngeal tuberculosis causing severe odynophagia and dysphagia.Oropharyngeal tuberculosis is a rare disease and is usually secondary to laryngeal involvement in pulmonary tuberculosis. The major symptom in such patients is sore throat. Here, we report a case of tuberculosis of the posterior oropharyngeal wall without laryngeal involvement and causing severe dysphagia and odynophagia without esophageal or mediastinal involvement. The unusual presentation of extrapulmonary tuberculosis is emphasized, and its diagnosis and treatment are discussed.- - - - - - - - - - ranking = 2.9829555565053keywords = sore throat, throat (Clic here for more details about this article) |
5/25. Treatment of malignant strictures of the cervical esophagus by endoscopic intubation using modified endoprostheses.Endoscopic intubation has traditionally been considered unsuitable as a means of palliating cervical esophageal carcinomas involving or within 2 cm of the cricopharyngeus sphincter muscle because of the potential problems of foreign body sensation and proximal prosthesis migration. We attempted to palliate eight such patients, three of whom had tracheo-esophageal fistulas by the endoscopic placement of modified Celestin endoprostheses; the floppy funnel of the prosthesis was positioned above the cricopharyngeus in the hypopharynx. Prosthesis placement and fistula occlusion was possible in all patients. Six patients had a significant long-term improvement in their dysphagia, managing a semi-solid (5 patients) or liquid diet (1 patient); two patients did not improve, despite accurate prosthesis placement, because of marked tracheal aspiration. Six patients reported no foreign body sensation; one patient had minor discomfort, and another moderate throat discomfort. Distal prosthesis migration occurred in two patients (replaced in 1 patient). Endoscopic intubation of high cervical esophageal carcinomas with specially modified endoprostheses is feasible and can provide worthwhile palliation of dysphagia and symptoms due to a tracheo-esophageal fistula. Foreign body sensation and proximal prosthesis migration did not prove troublesome.- - - - - - - - - - ranking = 1keywords = throat (Clic here for more details about this article) |
6/25. angioedema and dysphagia caused by contact allergy to inhaled budesonide.Inhaled corticosteroids may cause various adverse effects ranging from irritation to severe anaphylactic reactions and systemic contact dermatitis. We report a 43-year-old woman who developed sore throat, swelling of the lips and oral cavity and dysphagia, 2 weeks after the use of budesonide spray (Budefat) for treatment of bronchial asthma. The symptoms occurred with a delay of 3-4 h after the treatment x2 daily. There were no immediate reactions on prick and intracutaneous testing with the commercial product used by the patient. However, marked pruritic infiltration developed within 24 h, progressing to coalescing eczematous lesions over the following 2 days. In addition, severe oedema of the right upper eyelid was observed. On patch testing, budesonide was strongly positive at day 2 and 3 in a concentration ranging from 1% to 10 p.p.m. (in petrolatum). Other corticosteroids of group A, B, C and D were completely negative. Repeated open application tests with amcinonide and triamcinolone acetonide cream on the ventral aspect of the upper arm were negative. Bronchial exposure to alternative sprays containing beclomethasone dipropionate (group D), fluticasone-17- propionate (D) and dexamethasone-21-isonicotinate (C) was well tolerated. In conclusion, this case is instructive, because the symptoms which developed after a short period of corticosteroid inhalation suggested a type I allergy. Testing proved a severe type IV contact allergy restricted to budesonide (group B), without cross-reactions to major corticosteroids of other groups.- - - - - - - - - - ranking = 2.9829555565053keywords = sore throat, throat (Clic here for more details about this article) |
7/25. AAOMP case challenge: Multiple painful oral ulcers.A 66-year old white male was referred with a chief complaint of multiple painful oral and pharyngeal ulcerations (Figure 1). He stated his symptoms began four months earlier with the occurrence of a mild sore throat, which was followed by the development of numerous ulcers throughout the rest of his mouth. Because of the pain from these lesions, the patient suffered from dysphagia and resultant weight loss.- - - - - - - - - - ranking = 2.9829555565053keywords = sore throat, throat (Clic here for more details about this article) |
8/25. Smooth muscle tumour of the pharynx: a rare tumour presenting with globus pharyngeus symptoms.A rare case of a smooth muscle tumour in the pharynx is reported, together with histopathological findings. The patient's psychiatric background and recurrent complaint of a sensation of a lump in the throat all pointed to a psychogenic aetiology, and diagnosis was delayed. The importance of mirror or endoscopic examination of the pharynx is stressed in patients with globus pharyngeus symptoms.- - - - - - - - - - ranking = 1keywords = throat (Clic here for more details about this article) |
9/25. Successful surgical treatment for an adult case of double aortic arch.We present the case of a 39-year-old male who had complaints of dysphagia and throat pain. Computed tomography (CT), 3 dimensional CT and aortography revealed a double aortic arch (Edwards type IA). The patient underwent exploration through a left-sided thoracotomy and the left arch was divided at the distal site of the left subclavian artery, which completely relieved the esophageal compression.- - - - - - - - - - ranking = 1keywords = throat (Clic here for more details about this article) |
10/25. Bilateral peritonsillar abscesses: not your usual sore throat.We describe a rare case of a previously healthy 30-year-old man who presented to the Emergency Department (ED) with bilateral peritonsillar abscesses. The clinical presentation of fever, trismus and odynophagia was consistent with pertonsillar abscess (PTA), but the presence of symmetric tonsillar swelling and midline uvula confounded the diagnosis. The true incidence of bilateral peritonsillar abscesses is unknown, but the incidence of unsuspected contralateral peritonsillar abscess identified at tonsillectomy has been reported to be between 1.9% and 24%. The diagnosis of bilateral peritonsillar abscesses should be considered when the clinical presentation suggests the diagnosis of PTA, but the physical examination reveals bilateral swollen tonsils with a midline uvula.- - - - - - - - - - ranking = 11.931822226021keywords = sore throat, throat (Clic here for more details about this article) |
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