Retropharyngeal Space Hematoma in a Patient with Severe COVID-19 Illness

Pharyngeal injuries caused by trauma are common and have been reported previously in the medical literature. In some cases of a penetrating injury there is a collection of air in the retropharyngeal space that can be shown on lateral soft tissue radiography of the neck. If this condition is not diagnosed or adequately treated the patient may develop severe complications such as mediastinitis. A case is reported of a patient with penetrating injury caused by a pencil and the subsequent treatment with review literature are described.

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REMOVAL OF METALLIC FOREIGN BODY IMBEDDED IN THE RETROPHARYNGEAL SPACE. Method of More Precise Localization

The Laryngoscope ◽

10.1288/00005537-195409000-00004 ◽

1954 ◽

Vol 64 (9) ◽

pp. 785???790 ◽

Cited By ~ 3

Author(s):

Leon M. Arnold ◽

Max L. Som

Keyword(s):

Foreign Body ◽

Retropharyngeal Space ◽

Metallic Foreign Body ◽

Precise Localization ◽

Space Method

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Pharyngeal Abscess Resulting in a Fusion of the Skullbase-Cl-C2

Rivista di Neuroradiologia ◽

10.1177/197140090001300217 ◽

2000 ◽

Vol 13 (2) ◽

pp. 265-268

Author(s):

M. Birch-Iensen

Keyword(s):

Contrast Enhancement ◽

Clinical Examination ◽

White Male ◽

Head Rotation ◽

Drug Addict ◽

Atlantoaxial Instability ◽

Retropharyngeal Space ◽

Severe Limitation ◽

Rotatory Dislocation ◽

Pharyngeal Abscess

A 46-year-old white male drug addict presented with a retropharyngeal space mass. Clinical examination was suggestive of an abscess which was confirmed by radiological examination which also showed contrast enhancement in the prevertebral and epidural space from the skullbase to the C5 level. The abscess was incised and antibiotics administered. The following year, atlantoaxial instability and a rotatory dislocation of C1 on C2 was found and two years after treatment a rotatory dislocation of C1 on C2 with a fusion between the skullbase, C1 and C2 was found, a complication not previously reported. His complaints at this stage consisted of L'Hermitte symptoms and severe limitation on head rotation.

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Extremely rare case of retropharyngeal space benign plexiform schwannoma - Excised through Smith- Robinson Approach

Surgical Neurology International ◽

10.25259/sni_317_2020 ◽

2020 ◽

Vol 11 ◽

pp. 182

Author(s):

Rajendra Sakhrekar ◽

Vishal Peshattiwar ◽

Ravikant Jadhav ◽

Bijal Kulkarni ◽

Sanjiv Badhwar ◽

...

Keyword(s):

Cervical Spine ◽

Rare Case ◽

Neck Region ◽

Retropharyngeal Space ◽

Case Description ◽

Head And Neck Region ◽

Plexiform Schwannoma ◽

Spine Mr ◽

The Right ◽

Slow Growing

Background: Approximately 25–45% of schwannomas are typically slow-growing, encapsulated, and noninvasive tumors that occur in the head-and-neck region where they rarely involve the retropharyngeal space. Here, we report deep-seated benign plexiform schwannoma located in the retropharyngeal C2-C5 region excised utilizing the Smith-Robinson approach. Case Description: A 30-year-old male presented with dysphagia and impaired phonation attributed to an MR documented C2-C5 retropharyngeal schwannomas. On examination, the lesion was soft, deep seated, and extended more toward the right side of the neck. Utilizing a right-sided Smith-Robinson’s approach, it was successfully removed. The histopathology confirmed the diagnosis of a plexiform schwannoma. Conclusion: Retropharyngeal benign plexiform schwannomas are rare causes of dysphagia/impaired phonation in the cervical spine. MR studies best document the size and extent of these tumors which may be readily resected utilizing a Smith-Robinson approach.

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Acute Retropharyngeal Calcific Tendonitis as a Rare Cause of Odynophagia and Neck Pain

Medeniyet Medical Journal ◽

10.5222/mmj.2021.37539 ◽

2021 ◽

Author(s):

Prempreet Kaur Manjit Singh ◽

Muhammad Irsyad Mohamed Noor ◽

Rohaizam Jaafar ◽

Amali Ahmad ◽

Irfan Mohamad

Keyword(s):

Neck Pain ◽

Calcium Hydroxyapatite ◽

Sudden Onset ◽

Retropharyngeal Space ◽

Calcific Tendonitis ◽

Longus Colli Muscle ◽

Waking Up ◽

Point Tenderness ◽

Superior Oblique ◽

Hydroxyapatite Crystals

Retropharyngeal calcific tendonitis (RCT) is an aseptic inflammatory process of the superior oblique tendons of the longus colli muscle caused by the deposition of calcium hydroxyapatite crystals. We reported a 23-year-old woman who presented with a sudden onset of neck pain with odynophagia after waking up from sleep. Physical examination showed paracervical point tenderness with limited neck movement in all directions. Prior to surgery, further imaging was requested to aid in diagnosis, which in turn revealed RCT. It is important to be aware that RCT presentation may mimic other severe conditions such as retropharyngeal space abscess or meningitis.

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Castleman’s disease: an entity forgotten in ENT

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20211593 ◽

2021 ◽

Vol 7 (5) ◽

pp. 905

Author(s):

Mohamed Riyas Ali ◽

Vikram Wadhwa ◽

Ravi Meher ◽

Reena Tomar ◽

Karishma Singh ◽

...

Keyword(s):

Castleman’S Disease ◽

Treatment Modalities ◽

Retropharyngeal Space ◽

Castleman's Disease ◽

Complete Excision ◽

Vascular Type ◽

Hyaline Vascular Type ◽

Systemic Lymphadenopathy ◽

Rare Site ◽

Usual Site

<p class="abstract">Castleman’s disease (CD) usually presents as localized or systemic lymphadenopathy or as an extra nodal mass. The usual site of presentation are mediastinum, retroperitoneum, axilla and mesentery. Only 3 cases of CD have been reported in retro pharyngeal space. We report a case of 20 year old male patient with retropharyngeal mass. He presented with difficulty in swallowing, change in voice and respiratory distress. The mass was removed in-toto transorally after performing elective tracheostomy. The histopathological findings were consistent with hyaline vascular type of CD. He was decannulated after two day and postoperative period was uneventful. Postoperative CT imaging confirmed the complete excision of tumor and patient is on follow up, with no signs of recurrence. The presentation of tumour in the retropharyngeal space which is a rare site of occurrence add to the uniqueness of this case. Unicentric CD has an excellent prognosis and surgery is the management of choice. Its clinical features, histological subtypes, treatment modalities and prognosis are discussed.</p>

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