scholarly journals A rare case of pharyngeal perforation and expectoration of an entire anterior cervical fixation construct

2017 ◽  
Vol 26 (5) ◽  
pp. 560-566 ◽  
Author(s):  
Syed A. Quadri ◽  
John Capua ◽  
Vivek Ramakrishnan ◽  
Raed Sweiss ◽  
Marc Cabanne ◽  
...  
Keyword(s):  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Anterior Fusion ◽  
Pharyngeal Wall ◽  
First Case ◽  
Signal Change ◽  
Pharyngeal Perforation ◽  
Grade Ii ◽  
Vertebral Bodies ◽  
Esophageal Perforations

Anterior cervical discectomy and fusion (ACDF) is a very common surgery performed globally. Although a few cases of expectorating screws or extrusion of screws into the gastrointestinal tract through esophageal perforations have previously been reported, there has not been a case reporting pharyngeal perforation and entire cervical construct extrusion in the literature to date. In this report the authors present the first case involving the extrusion of an entire cervical construct via a tear in the posterior pharyngeal wall. An 81-year-old woman presented to the emergency department (ED) with a complaint of significant cervical pain 5 days after a fall due to a syncopal event. Radiological findings showed severe anterior subluxation of C-2 on C-3 with no spinal cord signal change noted. She underwent ACDF at the C2–3 level utilizing a polyetheretherketone (PEEK) cage, allograft, autograft, and a nontranslational plate with a locking apparatus and expanding screws. The screw placement was satisfactory on postoperative radiography and the Grade II spondylolisthesis of C-2 on C-3 was reduced appropriately with the surgery. The postoperative radiographs obtained demonstrated good instrumentation placement. Three and a half years later the patient returned to the ED having expectorated the entire anterior cervical construct. A CT scan demonstrated the C-2 and C-3 vertebral bodies to be fused posteriorly with an anterior erosive defect within the vertebral bodies and the anterior fusion hardware at the C2–3 level no longer identified. The fiberoptic laryngoscopy demonstrated a 1 × 1 cm area over the importation of the hypopharynx, above the glotic area. The Gastrografin swallowing test ruled out any esophageal tear or fistula and confirmed the presence of a large ulcer on the posterior wall of the oropharynx. To the best of the authors' knowledge, this is the first ever reported case of a tear in the posterior pharyngeal wall along with extrusion of the entire cervical construct after ACDF. This case demonstrates a rare but potentially serious complication of ACDF. Based on the available literature, each case requires separate and distinct treatment from the others.

Posterior pharyngeal wall schwannoma

1987 ◽  
Vol 101 (7) ◽  
pp. 749-752 ◽  
Author(s):  
C. Triaridis ◽  
M. G. Tsalighopoulos ◽  
A. Kouloulas ◽  
A. Vartholomeos
Keyword(s):  
Rare Case ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Severe Difficulty ◽  
Sympathetic Nervous

SummaryA rare case of a schwannoma localized on the posterior pharyngeal wall is presented. It concerns a young man with an inflammatory ulcerated mass in the posterior wall of the pharynx causing severe difficulty in swallowing.Although schwannomas of the lateral pharyngeal wall are common, only one case located on the posterior wall has been described. The origin of these tumours at this particular site is thought to be the sympathetic nervous plexus of the posterior pharyngeal wall.In presenting our case, we comment on the origin of posterior pharyngeal wall schwannomas.

Airway obstruction due to inflammatory myofibroblastic tumour of the posterior pharyngeal wall

2011 ◽  
Vol 125 (6) ◽  
pp. 655-659 ◽  
Author(s):  
H J Theunisse ◽  
F J A van den Hoogen
Keyword(s):  
Airway Obstruction ◽  
Radical Surgery ◽  
Histopathological Examination ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Inflammatory Myofibroblastic Tumour ◽  
Unique Case ◽  
Pharyngeal Wall ◽  
Biological Potential ◽  
Spherical Mass

AbstractObjective:We report a unique case of inflammatory myofibroblastic tumour of the posterior wall of the hypopharynx.Method:We present the patient's case history, management and histopathological findings. A literature review of all cases localised to the larynx or pharynx is provided and discussed.Results:A 67-year-old man presented with airway obstruction due to a spherical mass in the hypopharynx originating from the posterior pharyngeal wall. The tumour was resected. Histopathological examination revealed an inflammatory myofibroblastic tumour. We found only five previously reported cases with pharyngeal localisation. Further treatment of the patient is described.Conclusion:Inflammatory myofibroblastic tumour of the pharynx is extremely rare. It is regarded as a neoplastic tumour of intermediate biological potential. In cases with extrapulmonary localisation, the incidence of local recurrence can be as high as 25 per cent. Radical surgery is the treatment of choice; no adjuvant therapy is necessary.

scholarly journals Schwannoma of the posterior pharyngeal wall in a child

2021 ◽  
Author(s):  
Peng Zhu ◽  
Xiao Yan Li
Keyword(s):  
Radio Frequency ◽  
Rare Case ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
First Case ◽  
Severe Difficulty ◽  
First Time

Abstract Background: To our knowledge, There are only 7 cases of posterior pharyngeal wall schwannoma which have been previously reported in the literature, but none of them was associated with a 3-year-old child.Case presentation: We presented a rare case of a schwannoma which is localized on the posterior pharyngeal wall, It caused severe difficulty in swallowing and breathing in a child whose age is three years old. Schwannomas of the posterior pharyngeal wall has been rarely reported in children, The tumor was removed with plasma radio frequency excision via a transoral route, There was not seen any recurrence of tumor by examination of CT or MRI up to two years. as far as we know, It's the first time which a case of posterior pharyngeal wall schwannoma that has been reported to occur in a 3-year-old child, and the first case in which the schwannoma was removed via transoral plasma radio frequency excision.Conclusions: This case illustrates that schwannoma may be found in children ,and it is safe to treat this disease through plasma radio frequency excision via a transoral route.

scholarly journals Schwannoma of Posterior Pharyngeal Wall: An Unusual Tumor in an Unusual Location!

2016 ◽  
Vol 8 (1) ◽  
pp. 35-37
Author(s):  
Gaurav Ashish ◽  
Harshad Parmar ◽  
George A Mathew
Keyword(s):  
Head And Neck ◽  
Sympathetic Nerve ◽  
Rare Case ◽  
Parapharyngeal Space ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Airway Compromise ◽  
Pharyngeal Wall ◽  
Unusual Location ◽  
Globus Sensation

ABSTRACT Schwannomas of head and neck are classically located in the parapharyngeal space; however, it is rarely located on the posterior pharyngeal wall. Posterior pharyngeal wall schwannomas are thought to originate from the sympathetic nerve plexus. Clinically, this may present as an asymptomatic mass with a constellation of symptoms ranging from globus sensation, dysphagia, to even airway compromise. We present a rare case of posterior wall schwannoma. It concerns a young woman with a mass in the posterior wall of the pharynx causing globus sensation. How to cite this article Ashish G, Mathew GA, Parmar H. Schwannoma of Posterior Pharyngeal Wall: An Unusual Tumor in an Unusual Location! Int J Otorhinolaryngol Clin 2016;8(1):35-37.

Treatment of Posterior Pharyngeal Wall Carcinoma

1986 ◽  
Vol 94 (3) ◽  
pp. 287-290 ◽  
Author(s):  
John F. Teichgraeber ◽  
Fred M.S. McConnel
Keyword(s):  
Treatment Plan ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Review Of The Literature ◽  
University System ◽  
Pharyngeal Wall ◽  
Primary Surgery ◽  
Current Review ◽  
Emory University ◽  
A Current

Thirty cases of posterior pharyngeal wall carcinoma (seen in the Emory University system between 1977 and 1982) are reviewed. The study was implemented to resolve the question, “Which therapeutic alternative is preferred for the treatment of the lesion—radiation or therapy?” From our clinical experience, a treatment plan of primary surgery with postoperative radiation appears to be preferred over a treatment plan of radiation for cure with surgery held for salvage. A current review of the literature on the treatment of posterior wall carcinoma will be presented along with a review of our series.

scholarly journals Optimal therapy of inflammatory diseases in the risk groups

2019 ◽  
pp. 58-62
Author(s):  
Sergey Bezshapochny ◽  
Irina Hychak
Keyword(s):  
Pregnant Women ◽  
Inflammatory Diseases ◽  
Legal Aspect ◽  
Local Treatment ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Risk Groups ◽  
Subjective Assessment ◽  
Pharyngeal Wall ◽  
Increased Risk

Topicality: Pregnant women are at increased risk of susceptibility to inflammatory diseases of the pharynx. Unfortunately, there are currently no approved protocols for the treatment of ENT diseases for such patients in Ukraine. It is very important to choose a safe and effective drug with minimal absorption in to the general blood flow. Another important point for the doctors the legal aspect, namely, the absence of contraindications to the appointment of pregnant women in the instructions for use of the medicine. These criteria are met by Celista spray for a throat, which is based on the active substance miramistin (0.1 mg/ml). Materials and methods: We conducted a study that involved 30 pregnant women. These lection criteria were pregnant women from I to III trimester with a diagnosis of acute pharyngitis / tonsillitis / tonsillopharyngitis, up to 5 days after the disease, 0-3 points on a modified McAizek-Center scale, voluntary consent and adequate attitude to the study. All patients were prescribed topical irrigation of Celista spray x 4 times a day. The examination complex included subjective assessment of the condition on a 10-point visual-analogue scale, symptom severity assessment was performed using a questionnaire on a 4-point scale by criteria such as sore throat, burning, coughing (0 – no symptom, 1 – the symptom is poorly expressed, 2 – the symptom is moderately expressed, 3 – the symptom is strongly expressed). Objective examination included assessment of the condition by criteria such as hyperemia of the posterior pharyngeal wall; hypertrophy of the follicles of the posterior wall of the pharynx; hypertrophy and swelling of the tonsils; regional lymphadenitis for 0; 3; 5; 7 days. Results: It was found that the pain index decreased by 1.6 points, laceration in the throat – by 1.78 points, cough – by 0.3 points after treatment. A similar tendency was observed in the objective status: hyperemia of the posterior pharyngeal wall decreased by 1.5 points, hypertrophy of the pharynx follicles – by 1.27 points, hyperemia and swelling of the tonsils – by 0.8 points, regional lymphadenitis – by 0.5 points. Conclusion: Thus, given that the absorption of Celista spray is actually absent, the drug has no contraindications for prescription during pregnancy, and based on our results, we can confirm the effectiveness of its use during pregnancy for the local treatment of acute inflammatory diseases of the pharynx in pregnant women in any period.

scholarly journals Schwannoma of the Posterior Pharyngeal Wall in a Child

2021 ◽  
Author(s):  
peng zhu ◽  
xiao yan li
Keyword(s):  
Radio Frequency ◽  
Rare Case ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Case Presentation ◽  
First Case ◽  
Severe Difficulty ◽  
First Time

Abstract Background: To our knowledge, There are only 7 cases of posterior pharyngeal wall schwannoma which have been previously reported in the literature, but none of them was associated with a 3-year-old child.Case presentation: We presented a rare case of a schwannoma which is localized on the posterior pharyngeal wall, It caused severe difficulty in swallowing and breathing in a child whose age is three years old. Schwannomas of the posterior pharyngeal wall has been rarely reported in children, The tumor was removed with plasma radio frequency excision via a transoral route, There was not seen any recurrence of tumor by examination of CT or MRI up to two years. as far as we know, It's the first time which a case of posterior pharyngeal wall schwannoma that has been reported to occur in a 3-year-old child, and the first case in which the schwannoma was removed via transoral plasma radio frequency excision.Conclusions: This case illustrates that schwannoma may be found in children ,and it is safe to treat this disease through plasma radio frequency excision via a transoral route.

The technical aspects of collecting and transporting the sputum cystic fibrosis patients

2016 ◽  
Vol 7 (2) ◽  
pp. 92-95
Author(s):  
Aleksandr V Orlov ◽  
Viktor N Kovalev ◽  
Marina N Ignatieva ◽  
Lubov A Antipova ◽  
Ekaterina A Egorova ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Pseudomonas Aeruginosa ◽  
Burkholderia Cepacia ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Small Towns ◽  
Pharyngeal Wall ◽  
North West ◽  
Large Cities ◽  
The North

Timely diagnosis of infection in cystic fibrosis patients is a major aim. This is especially important for timely treatment in primary seed Ps. aeruginosa and Burkholderia cepacia. Early treatment allows in most cases to prevent the formation of chronic Pseudomonas aeruginosa infection. This also applies to re-sowing Ps. aeruginosa after the previous eradication. However, not all cities and small towns have laboratories equipped sufficiently to do bacteriological analysis of cystic fibrosis patients sputum, especially for the allocation of Ps. aeruginosa and Burkholderia cepacia. In this regard, the choice of methods of collecting material and its storage and transportation to specialized laboratories is very relevant. In 5 cities of the North-West region of Russia in 51 patients with cystic fibrosis conducted fences sputum and its subsequent delivery and carrying out of sowing in NIIDA FMBA of Russia in St Petersburg. Five patients extract sputum by coughing, 12 - induced sputum, 24 - were held flush with the posterior wall of the pharynx, 8 - swab from posterior pharyngeal wall, the parents of 2 patients brought the sputum coughed in previous day at house. As the result of bacteriologic test in 15 children certain pathogens were detected for the first time: Staphylococcus in 10 patients, Pseudomonas aeruginosa in 4 patients, Achromobacter in 1 person. Pathogens are well preserved during transportation of specimens to the laboratory in transport medium in the cold, which allows the use of bacteriological laboratories of large cities for carrying out sputum cultures of patients from other regions.

Pharyngeal and Pharyngolaryngeal Bands: Report of An Unusual Combination of Congenital Anomalies

1995 ◽  
Vol 104 (8) ◽  
pp. 653-654 ◽  
Author(s):  
C. A. J. Prescott
Keyword(s):  
Pulmonary Fibrosis ◽  
Soft Palate ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Pharyngeal Wall ◽  
Interstitial Pulmonary Fibrosis ◽  
Adenoid Tissue ◽  
Unusual Combination ◽  
The Right ◽  
Base Of The Tongue

Multiple abnormal pharyngeal and pharyngolaryngeal bands were present in a child presenting with diffuse interstitial pulmonary fibrosis. The soft palate was fused to the posterior pharyngeal wall. Instead of there being faucial pillars, a muscular band on either side extended from the base of the tongue to the lateral pharyngeal walls. There was neither tonsil nor adenoid tissue present. The epiglottis was tethered to the posterior pharyngeal wall by bands from its lateral aspects. The right arytenoid mound was tethered to the posterior wall of the hypopharynx. It is postulated that these arose from a failure of development of the second branchial pouch.

Compensatory Tongue-Palate-Posterior Pharyngeal Wall Relationships in Cleft Palate

1965 ◽  
Vol 30 (2) ◽  
pp. 166-173 ◽  
Author(s):  
Alta R. Brooks ◽  
Ralph L. Shelton ◽  
Karl A. Youngstrom
Keyword(s):  
Cleft Palate ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall
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