scholarly journals Chronic retropharyngeal abscess

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

Author(s):  
Bipul Kumar Garg ◽  
Shrikant Pradeep Savant ◽  
Sumit Maheshwari

<p class="abstract">The retropharyngeal space lies in the posterior pharyngeal wall between the middle and deep layers of the deep cervical fascia. It extends from the base of the skull to the mediastinum and frequently serves as a conduit for spread of disease from the neck into the chest. Spinal tuberculosis is the commonest extra pulmonary manifestation of tuberculosis. Clinical findings of cervical tuberculosis includes neck pain, restricted neck movements, quadriparesis, radicular manifestations, kyphosis, and sensory disturbance. It should be suspected in an adult person who presents with a destructive lesion of the cervical vertebra and retro-pharyngeal mass. Early diagnosis and treatment are necessary to prevent the serious complications of the disease. We present here a 46 years old female who presented to a tertiary care setup with acute onset dyspnea and quadriplegia with bladder bowel involvement managed with trans oral incision and drainage of retropharyngeal abscess followed by posterior occipitocervical fusion supplemented with Anti Koch Therapy with a good follow up.</p>


2008 ◽  
Vol 51 (4) ◽  
pp. 233-236 ◽  
Author(s):  
Vojtěch Haas ◽  
Petr Čelakovský ◽  
Jindra Brtková ◽  
Helena Hornychová

Introduction: The authors present a rare case of a patient with symptoms consistent with retropharyngeal abscess. The diagnosis of anaplastic thyroid cancer was made after surgery and subsequent histological examination. Case report: An 80-year-old woman was referred to Dpt. of Otolaryngology, Head and Neck Surgery, Charles University Medicine Faculty, Teaching Hospital in Hradec Králové with odynophagia and pain in the left side of the neck. The patient had pronounced swelling of the left side of her neck. We could also see swelling of the posterior pharyngeal wall, more pronounced on the left side. Inflammation markers were markedly elevated. Administration of antibiotics intravenously (amoxicillin combined with clavulan acid and gentamicin) was started. A computer tomography investigation (CT) was performed and a retropharyngeal abscess was found. The existence of a tumour was considered as well. An acute endoscopic examination and a puncture of the retropharyngeal space at the site of the swelling were performed, but no pus or any other liquid was found. On the sixth day of hospitalization a second CT scan was performed. As the retropharyngeal mass was still present along with continually elevated inflammatory markers, surgical revision of the retropharyngeal space from an external approach was performed. No abscess formation was found. During the surgery, retropharyngeal lymph nodes were removed for histological examination. The histological examination of the lymph nodes identified metastasis of anaplastic thyroid cancer. Conclusions: The differential diagnosis of diseases affecting deep neck structures can be very difficult. Symptoms of inflammation dominating in the clinical picture do not exclude the possibility of malignancy. The most relevant imaging examination seems to be contrast enhanced computer tomography or magnetic resonance imaging.


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.


1994 ◽  
Vol 73 (1) ◽  
pp. 41-43 ◽  
Author(s):  
Nicholas J. Daniello ◽  
Steven I. Goldstein

Retropharyngeal hematomas are relatively rare. They are clinically important because of the close proximity of the retropharyngeal space to the upper airway. Any swelling in the space may cause the posterior pharyngeal wall to bulge anteriorly into the airway and cause airway obstruction. Management starts with securing and maintaining the patient's airway. Diagnosis rests upon clinical examination and radiographic studies. Treatment depends upon the size of the hematoma as well as the clinical course of the patient. Smaller hematomas may be observed. Larger hematomas and those that fail to reabsorb should undergo drainage. A case of retropharyngeal hematoma following minor blunt head and neck trauma is presented. We review the literature and present management and treatment principles for this group of patients.


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.


2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
R. Manmathan ◽  
T. Kumanan ◽  
J. A. Pradeepan

Acinetobacter species frequently causes nosocomial infection, particularly in patients receiving invasive ventilation at intensive care units for a prolonged period. Odynophagia is a rare, initial clinical manifestation of prevertebral abscess which subsequently develops when the abscess extends into the retropharyngeal space causing a midline bulge of the posterior pharyngeal wall. Here, we present and discuss a patient with uncontrolled diabetic mellitus who presented with severe odynophagia and dysphagia. He was diagnosed to have prevertebral abscess caused by a rarely reported bacteria, Acinetobacter baumannii.


1995 ◽  
Vol 31 (3) ◽  
pp. 611-615 ◽  
Author(s):  
L GRIMARD ◽  
J SZANTO ◽  
A GIRARD ◽  
M HOWARD ◽  
L EAPEN ◽  
...  

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.


Sign in / Sign up

Export Citation Format

Share Document