A case report of application of posterior pharyngeal flap in resection and reconstruction of posterior pharyngeal wall carcinomas located at the level of the cricoid cartilage

Objective: This systematic review sought to evaluate the consensus in the literature regarding the surgical management of VPD and to determine whether a particular procedure results in superior speech outcome or less morbidity Design: A systematic review was carried out according to PRISMA-P guidelines. Systematic review software was used to facilitate 3-stage screening and data extraction by 2 reviewers. Setting: University teaching hospital. Patients, Participants: Studies that reported perceptual speech assessment or obstructive sleep apnea (OSA) in patients who had undergone surgery for VPD were included in the review. Interventions: Four categories of surgery for VPD were examined—pharyngeal flap, sphincter pharyngoplasty, palatoplasty, and posterior pharyngeal wall augmentation. Main outcome measures: Perceptual speech assessment, need for further surgery, and occurrence of OSA were the outcomes of interest. Results: Eighty-three relevant studies were identified, comprising data on 4011 patients. Pharyngeal flap was the most common procedure (64% of patients). Overall, 70.7% of patients attained normal resonance and 65.3% attained normal nasal emission. There was no notable difference in speech outcomes, need for further surgery, or occurrence of OSA across the 4 categories of surgery examined. Heterogeneous groups of patients were reported upon and a variety of perceptual speech assessment scales were used. Conclusions: There is a lack of consensus in the literature to guide procedure selection for patients with VPD. The development of a standardized minimum data set to record postoperative speech, OSA, and patient-reported outcomes is required.

Download Full-text

Management of Speech and Swallowing Disorders in Children with Oral Clefts

10.2310/ps.10027 ◽

2019 ◽

Author(s):

Ravi K. Garg ◽

Delora L Mount

Keyword(s):

Cleft Palate ◽

Cleft Lip ◽

Speech Therapy ◽

Cleft Lip And Palate ◽

Treatment Options ◽

Posterior Pharyngeal Wall ◽

Diagnostic Tools ◽

Pharyngeal Wall ◽

Pharyngeal Flap ◽

Sphincter Pharyngoplasty

Cleft lip and palate are common congenital anomalies with significant implications for feeding, swallowing, and speech. If a cleft palate goes unrepaired, a child will have difficulty distinguishing nasal and oral sounds. Even following cleft palate repair, approximately 20 to 30% of nonsyndromic children have persistent hypernasal speech. This often occurs due to velopharyngeal dysfunction (VPD), a term describing failure of the soft palate and pharyngeal walls to seal the nasopharynx from the oropharynx during oral consonant production. The gold standard for diagnosis is perceptual examination by a trained speech pathologist, although additional diagnostic tools such as nasendoscopy are often used. Treatment options for VPD range from speech therapy to revision palatoplasty, sphincter pharyngoplasty, pharyngeal flap, and pharyngeal wall augmentation. Palatal prosthetics may also be considered for children who are not surgical candidates. Further research is needed to improve selection of diagnostic and treatment interventions and optimize speech outcomes for children with a history of oral cleft. This review contains 1 figure, 3 videos, and 58 references. Key words: Cleft lip and palate, hypernasal resonance, levator veli palatine, nasal emission, nasendoscopy, palatoplasty, pharyngeal flap, posterior pharyngeal wall augmentation, sphincter pharyngoplasty, velopharyngeal dysfunction

Download Full-text

Chronic retropharyngeal abscess

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v18i2.12032 ◽

2012 ◽

Vol 18 (2) ◽

pp. 242-244

Author(s):

M Alamgir Chowdhury ◽

Naseem Yasmeen ◽

Phub Tshering

Keyword(s):

Case Report ◽

Posterior Pharyngeal Wall ◽

Retropharyngeal Abscess ◽

Retropharyngeal Space ◽

Tuberculous Infection ◽

Anterior Longitudinal Ligament ◽

Neck Swelling ◽

External Drainage ◽

Pharyngeal Wall ◽

Space Case

Introduction: Chronic retropharyngeal abscess can occur in the adults as well as in children. It is usually due to tuberculous infection of the cervical spine as the pus directly spreads through the anterior longitudinal ligament into the retropharyngeal space. Case report: We report a case of chronic retropharyngeal abscess in a 60-year-old woman who presented with throat pain and dysphagia. On examination there was bulging of the posterior pharyngeal wall and also right sided neck swelling. She was treated by external drainage of abscess under local anaesthesia and she recovered well with anti-tubercular drugs DOI: http://dx.doi.org/10.3329/bjo.v18i2.12032 Bangladesh J Otorhinolaryngol 2012; 18(2): 242-244

Download Full-text

Superiorly based pharyngeal flap and posterior pharyngeal wall augmentation

Operative Techniques in Otolaryngology-Head and Neck Surgery ◽

10.1016/j.otot.2009.10.012 ◽

2009 ◽

Vol 20 (4) ◽

pp. 268-273 ◽

Cited By ~ 3

Author(s):

J. Paul Willging

Keyword(s):

Posterior Pharyngeal Wall ◽

Pharyngeal Wall ◽

Pharyngeal Flap

Download Full-text

Posterior Pharyngeal Wall Schwannoma

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1165 ◽

2014 ◽

Vol 6 (3) ◽

pp. 98-100

Author(s):

JC Passey ◽

Nikhil Arora ◽

Varun Rai

Keyword(s):

Case Report ◽

Posterior Pharyngeal Wall ◽

Complete Excision ◽

Pharyngeal Wall

ABSTRACT Case report of a posterior pharyngeal wall schwannoma in a 23-year-old female. Hypopharyngeal schwannoma is rare entities and at the time of writing we could find only 10 other cases reported worldwide and this is the eleventh. Complete excision was done intraorally and there is no recurrence after 1 year. How to cite this article Rai V, Arora N, Malhotra V, Passey JC. Posterior Pharyngeal Wall Schwannoma. Int J Otorhinolaryngol Clin 2014;6(3):98-100.

Download Full-text

Schwannoma of the posterior pharyngeal wall- case report

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0014.6218 ◽

2020 ◽

Vol 9 (4) ◽

pp. 1-5

Author(s):

Patrycja Torchalla ◽

Małgorzata Czesak ◽

Ewa Osuch- Wójcikiewicz ◽

Kazimierz Niemczyk

Keyword(s):

Case Report ◽

Surgical Treatment ◽

General Anesthesia ◽

Clinical Examination ◽

Histopathological Examination ◽

Tumor Resection ◽

Posterior Pharyngeal Wall ◽

Pharyngeal Wall ◽

Old Men

Authors present a case report of 46 years old men with tumor of the posterior pharyngeal wall. Based on the clinical examination and MRI, the patient was qualified for surgical treatment. The patient underwent tumor resection under general anesthesia. Due to the histopathological examination of the obtained material, the diagnosis of ancient schwannoma was made.

Download Full-text

Biphasic Synovial Sarcoma of the Posterior Pharyngeal Wall: A Case Report

Ear Nose & Throat Journal ◽

10.1177/014556130508400516 ◽

2005 ◽

Vol 84 (5) ◽

pp. 302-306 ◽

Cited By ~ 7

Author(s):

Frank O. Agada ◽

Justin Murphy ◽

Ravi Sharma ◽

Laszlo Karsai ◽

Nick D. Stafford

Keyword(s):

Case Report ◽

Head And Neck ◽

Synovial Sarcoma ◽

Neck Region ◽

Posterior Pharyngeal Wall ◽

Pharyngeal Wall ◽

Head And Neck Region ◽

Pathologic Features ◽

Histopathologic Features

Synovial sarcoma is not common in the head and neck region. Because its histopathologic features are many and varied, it is often misdiagnosed. We report a case of biphasic synovial sarcoma of the posterior pharyngeal wall, and we discuss the clinical and pathologic features of this case.

Download Full-text

Synovial Sarcoma of the Pharynx: A Case Report

Ear Nose & Throat Journal ◽

10.1177/014556130208100112 ◽

2002 ◽

Vol 81 (1) ◽

pp. 36-39 ◽

Cited By ~ 13

Author(s):

Levent Saydam ◽

Ahmet Kizilay ◽

M. Tayyar Kalcioglu ◽

Bulent Mizrak ◽

Fatih Bulut

Keyword(s):

Case Report ◽

Head And Neck ◽

Synovial Sarcoma ◽

Neck Region ◽

Posterior Pharyngeal Wall ◽

Pharyngeal Wall ◽

Head And Neck Region ◽

Disease Free

Synovial sarcoma is a malignancy not usually encountered in the head and neck region. We describe a case of synovial sarcoma of the posterior pharyngeal wall in a 14-year-old girl. The mass was completely excised via the transoral route. Postoperatively, the patient received irradiation to 60 Gy. At 40 months of follow-up, the patient remains disease-free.

Download Full-text

Plasmacytoma of the atlas presenting as hoarseness: a rare cause of unilateral vocal fold palsy

The Journal of Laryngology & Otology ◽

10.1017/s0022215112001132 ◽

2012 ◽

Vol 126 (8) ◽

pp. 870-872 ◽

Cited By ~ 3

Author(s):

J Kapoor ◽

A Trinidade ◽

G Mochloulis ◽

W Mohamid

Keyword(s):

Case Report ◽

Cervical Spine ◽

Vocal Fold ◽

Haematological Malignancy ◽

Posterior Pharyngeal Wall ◽

Pharyngeal Wall ◽

Vocal Fold Palsy ◽

Solitary Bone Plasmacytoma

AbstractIntroduction:Solitary bone plasmacytoma is a rare haematological malignancy that can present in a variety of ways. This study aimed to present a case of plasmacytoma of the atlas, as a rare cause of unilateral vocal fold palsy.Method:Case report.Results:Following diagnosis via imaging and direct biopsy through the posterior pharyngeal wall, the patient was referred to the haematologists for further treatment of his plasmacytoma.Conclusion:Solitary bony plasmacytoma of the cervical spine is a rare haematological malignancy. Its presentation with a unilateral vocal fold palsy has not been previously described.

Download Full-text