scholarly journals Unusual symptoms of Thornwaldt’s cyst: a case report

Author(s):  
Rajwant Kaur ◽  
Pawan Kumar

<p>Thornwaldt’s cyst also known as bursa pharyngeal embryonalis which is formed by traction of notochord at the retropharyngeal wall at the site of contact. It is present in the midline, at the junction between nasopharyngeal vault and posterior pharyngeal wall. The bursa can extend upward and backward above the limit of superior constrictor muscle fibres. This bursa when infected becomes seat of inflammation and cyst formation occurred. The well-known Thornwaldt’s cyst occurs as a result of obstruction of orifice of the bursa and is different from cyst of Rathke’s pouch. Thornwaldt’s cyst is usually asymptomatic but more than 1-2 cm may become symptomatic. Symptoms that commonly seen are halitosis, nasal discharge, nasal obstruction, epistaxis, prevertebral spasm, and rarely occipital headache and obstruction of Eustachian tube can occur. The diagnosis usually incidental as a part of a nasal endoscopic examination or radiological and endoscopic examination which is used to diagnose the cyst. On examination it appears as smooth mass with a central dimple. In this case report young female present with difficulty in swallowing, occipital headache, halitosis and fever. Initially she was managed conservatively when the cyst was resolved then it was marspupizied by transoral approach, with uneventful postoperative period. Other approaches for excision or marsupialization in symptomatic cases are endoscopic or transpalatal using powdered instrumentation.</p>


2012 ◽  
Vol 18 (2) ◽  
pp. 242-244
Author(s):  
M Alamgir Chowdhury ◽  
Naseem Yasmeen ◽  
Phub Tshering

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



2014 ◽  
Vol 6 (3) ◽  
pp. 98-100
Author(s):  
JC Passey ◽  
Nikhil Arora ◽  
Varun Rai

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.



2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Samit N. Unadkat ◽  
Rishi Talwar ◽  
Neil Tolley

Foreign body ingestion is a frequent presenting complaint to most emergency departments but the finding of a sewing needle in the posterior pharynx particularly is a rare finding. We report a case of a male patient with a sewing needle lodged in the posterior pharynx despite a history suggestive of chicken bone ingestion, absent clinical features, and negative flexible endoscopic examination. The needle was only identified through cervical spine radiographs. Even subsequent pharyngoscopy, laryngoscopy, and upper oesophagoscopy all proved to be unremarkable with the patient eventually requiring a left neck exploration to remove the needle. The case outlines the importance of simple radiography in suspected foreign body ingestion, even though clinical and endoscopic findings may be unremarkable.



2020 ◽  
Vol 9 (4) ◽  
pp. 1-5
Author(s):  
Patrycja Torchalla ◽  
Małgorzata Czesak ◽  
Ewa Osuch- Wójcikiewicz ◽  
Kazimierz Niemczyk

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.



2005 ◽  
Vol 84 (5) ◽  
pp. 302-306 ◽  
Author(s):  
Frank O. Agada ◽  
Justin Murphy ◽  
Ravi Sharma ◽  
Laszlo Karsai ◽  
Nick D. Stafford

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.



2002 ◽  
Vol 81 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Levent Saydam ◽  
Ahmet Kizilay ◽  
M. Tayyar Kalcioglu ◽  
Bulent Mizrak ◽  
Fatih Bulut

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.



2012 ◽  
Vol 126 (8) ◽  
pp. 870-872 ◽  
Author(s):  
J Kapoor ◽  
A Trinidade ◽  
G Mochloulis ◽  
W Mohamid

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.



2014 ◽  
Vol 48 (2) ◽  
pp. 154-157
Author(s):  
Krzysztof Zapałowicz ◽  
Maciej Radek ◽  
Maciej Wojdyn ◽  
Piotr Pietkiewicz ◽  
Jurek Olszewski




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