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.

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 Undifferentiated carcinoma of parapharyngeal space in 8 year old female child: a rare case presentation

2016 ◽  
Vol 2 (2) ◽  
pp. 88
Author(s):  
Ramesh Kadela ◽  
Sonia Jindal ◽  
Pooja Arya ◽  
Niranjan Nagaraj ◽  
Deepchand Lal ◽  
...  
Keyword(s):  
Head And Neck ◽  
Malignant Tumor ◽  
Rare Case ◽  
Parapharyngeal Space ◽  
Female Child ◽  
Undifferentiated Carcinoma ◽  
Head And Neck Tumors ◽  
Case Presentation ◽  
Parapharyngeal Space Tumors ◽  
Neck Tumors

<p class="abstract">Parapharyngeal space tumors represent only 0.5% of all head and neck tumors. Out of which, 80% are benign and 20% are malignant. Tumor must be at least 2 cm in size before bulge or abnormality is palpable. We report a case of 8 year old female child who presented with bulge in right tonsillar region. </p>

Retropharyngeal Hematoma Secondary to Minor Blunt Head and Neck Trauma

1994 ◽  
Vol 73 (1) ◽  
pp. 41-43 ◽  
Author(s):  
Nicholas J. Daniello ◽  
Steven I. Goldstein
Keyword(s):  
Head And Neck ◽  
Clinical Course ◽  
Upper Airway ◽  
Posterior Pharyngeal Wall ◽  
Retropharyngeal Space ◽  
Neck Trauma ◽  
Pharyngeal Wall ◽  
Close Proximity ◽  
Retropharyngeal Hematoma ◽  
Head And Neck Trauma

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.

scholarly journals A Rare Case of Large Schwannoma of the Parapharyngeal Space

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Nora Siupsinskiene ◽  
Irina Arechvo ◽  
Rimante Lapinskaite ◽  
Evaldas Padervinskis ◽  
Silvija Ryskiene ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Peripheral Nerves ◽  
Rare Case ◽  
Parapharyngeal Space ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Rare Lesion ◽  
Histological Characteristics ◽  
Taste Dysfunction ◽  
Inflammatory Changes

Schwannoma originating from the peripheral nerves is a rare lesion of the parapharyngeal space. The special traits of the presented case included the following: the patient presented with slowly progressing dysphagia, speech difficulties, jaw numbness, and taste dysfunction. A dislocated lateral pharyngeal wall with mild inflammatory changes of the oropharyngeal mucosa was observed during pharyngoscopy. The radiological and histological characteristics of the neoplasm are consequently presented. Special emphasis is placed on the surgical treatment of the tumor.

scholarly journals Spindle-cell Hemangioendothelioma of the Posterior Pharyngeal Wall

2005 ◽  
Vol 84 (6) ◽  
pp. 362-365 ◽  
Author(s):  
Himani Lade ◽  
Neelima Gupta ◽  
P.P. Singh ◽  
Geeta Dev
Keyword(s):  
Head And Neck ◽  
Spindle Cell ◽  
Posterior Pharyngeal Wall ◽  
Vascular Lesion ◽  
Diagnostic Dilemma ◽  
Unusual Site ◽  
Pharyngeal Wall ◽  
Aggressive Tumors

Spindle-cell hemangioendothelioma is an uncommon vascular lesion that exhibits a predilection for the extremities. Very few reports have been published describing this lesion in the head and neck, and to the best of our knowledge, its occurrence in the oropharynx has not been previously reported. In addition to reporting an unusual site of this lesion, our rationale for publishing this case is to comment on the diagnostic dilemma that arose in view of an unclear clinicohistopathologic pattern and to discuss this lesion's similarity to other aggressive tumors.

scholarly journals Hemangiopericytoma of the Parapharyngeal Space

2013 ◽  
Vol 92 (9) ◽  
pp. 436-440 ◽  
Author(s):  
Brian A. Fishero ◽  
Kelly M. Guido ◽  
Howard S. McGuff ◽  
Josefine M. Heim-Hall ◽  
Frank R. Miller
Keyword(s):  
Head And Neck ◽  
Parapharyngeal Space ◽  
Histopathologic Examination ◽  
Rare Entity ◽  
En Bloc ◽  
Diagnosis And Management ◽  
Globus Sensation

Hemangiopericytomas of the head and neck are rarely found in the parapharyngeal space. We report the case of a 53-year-old woman who presented with a globus sensation in her throat. Imaging detected a left submucosal oropharyngeal mass that extended into the prestyloid parapharyngeal space. The tumor was surgically excised en bloc. Histopathologic examination identified it as a hemangiopericytoma. We discuss the diagnosis and management of this rare entity.

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.

scholarly journals Image guided biopsy/FNAC in head and neck cancers in covid 19 pandemic

2021 ◽  
Vol 7 (2) ◽  
pp. 51-53
Author(s):  
Rajesh A Kantharia ◽  
Roopa Ganta ◽  
Shehnaz R Kantharia ◽  
Bhavin Bhupendra Shah
Keyword(s):  
Head And Neck ◽  
Posterior Pharyngeal Wall ◽  
Primary Diagnosis ◽  
Head And Neck Cancers ◽  
Invasive Technique ◽  
Pharyngeal Wall ◽  
Ct Guided ◽  
Image Guided ◽  
Guided Biopsy ◽  
Clinical Records

Suspected growth in the region of base of tongue, pharynx, and larynx need direct/indirect laryngoscopy for establishing Diagnosis and for Staging of the disease. The Covid 19 Pandemic has severely affected these modes of examination because they are Aerosol Generating Procedures and carry very high risk of transmission of the Virus. The Department of Head And Neck Oncosurgery at KCHRC is one of the busiest department at our Institute with an average annual footfall of around 20,000 new patients. The main objective of our study is to know the role of Image Guided Biopsy/FNAC for primary diagnosis in Head and Neck Cancers. Retrospective analysis of prospectively collected data of 35 patients was done from April to September 2020. Histopathological records along with patient’s clinical records were reviewed. Of the 35 patients, 23 patients underwent CT Guided biopsies, 11 patients had CT Guided FNA and one patient had USG guided biopsy. In 23 patients (CT Guided Biopsy), the biopsy was taken from tongue in 16 patients, Larynx in two patient, Pyriform sinus(PFS), posterior pharyngeal wall, RMT (retromolar trigone), lower GBS and Tonsil sites had one patient each. Of the 11 CT Guided FNAC patients, the site of FNA was from PFS in 7 patients, Tongue in 2 patients RMT and soft palate had one patient each. One patient had undergone USG Guided biopsy for PFS lesion. Out of 35 patients, tissue specimen taken was adequate in 33 patients and inadequate in two patients. The results were supported both histologically and clinically. The histological confirmation was found in 88.6% cases (31/35), squamous cell carcinoma was found in 74.3% cases (26/35), no malignancy in 8.5% cases(3/35), no specific lesion in 5.7% cases(2/35), no definitive diagnosis in 2.8% cases(1/35) and in inadequate in 8.5% cases(3/35). Repeat biopsy in one patient revealed no malignancy. There were no post procedure complications noted. Image guided biopsy/FNAC is a safe, reliable minimally invasive technique and can be used for primary diagnosis of Head and Neck cancers without the risk of Aerosol generation in the current Covid -19 Pandemic.

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