Giant pedunculated mass arising from the left tonsillar fossa

AbstractLipomas are common benign connective tissue tumours composed of adult adipose tissue. They are relatively rare in the upper aerodigestive tract, although they occur with considerable frequency in other areas, particularly in the subcutaneous tissues of the neck. Although there are several reports of this tumour occurring in the oropharynx, there is no recorded case of a lipoma of the tonsillar fossa. An 83-year-old man with a left tonsillar fossa lipoma is presented. Clinical presentation, management and a literature review are discussed.

Download Full-text

Incidence and Causes of Local Failure of Irradiation in Squamous Cell Carcinoma of the Faucial Arch, Tonsillar Fossa and Base of the Tongue

Radiology ◽

10.1148/108.2.383 ◽

1973 ◽

Vol 108 (2) ◽

pp. 383-387 ◽

Cited By ~ 74

Author(s):

Michel Gelinas ◽

Gilbert H. Fletcher

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Local Failure ◽

Tonsillar Fossa ◽

Base Of The Tongue

Download Full-text

Management of Cervical Metastases in Advanced Squamous Cell Carcinoma of the Tonsillar Fossa Following Radiotherapy

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archotol.131.7.600 ◽

2005 ◽

Vol 131 (7) ◽

pp. 600 ◽

Cited By ~ 5

Author(s):

Ted Mau ◽

Young Oh ◽

M. Kara Bucci ◽

David W. Eisele

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Advanced Squamous Cell Carcinoma ◽

Tonsillar Fossa ◽

Cervical Metastases

Download Full-text

Subcutaneous Emphysema Secondary to Tonsillectomy

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1194 ◽

2015 ◽

Vol 7 (2) ◽

pp. 78-80

Author(s):

Vivek Sasindran ◽

Vijay Stephen ◽

Lakshana Deve

Keyword(s):

Case Report ◽

Surgical Procedures ◽

Subcutaneous Emphysema ◽

Subcutaneous Tissue ◽

Rare Complication ◽

Tension Pneumothorax ◽

Tonsillar Fossa ◽

Superior Constrictor ◽

History Of ◽

Fatal Complications

ABSTRACT Background Tonsillectomy is one of the most common surgical procedures performed worldwide. However, it can potentially be associated with several complications. One of the very rare complications post-tonsillectomy in adults is subcutaneous emphysema, as in our case here. Although, most reported cases are resolved spontaneously, it may lead to fatal complications, like tension pneumothorax. Case report Tonsillectomy was performed on an adult patient with history of frequent tonsillitis. The patient developed facial subcutaneous emphysema 48 hours after the surgery (evident by clinical and radiological examination) that resolved within 2 days without further complications. Conclusion Tonsil should be removed along with tonsilar capsule. If tonsillectomy causes deeper than usual mucosal tear up to the level of the muscles, then air might pass into the subcutaneous tissue through the tonsillar fossa and superior constrictor muscle into fascial layers of neck. Emphysema can then spread to parapharyngeal, retropharyngeal spaces and mediastinum with its related morbidity. Though a rare complication, all otorhinolaryngologists must be aware of this complication and its management. How to cite this article Abraham SS, Stephen V, Deve L, Kurien M. Subcutaneous Emphysema Secondary to Tonsillectomy. Int J Otorhinolaryngol Clin 2015;7(2):78-80.

Download Full-text