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Ear Nose Throat J 2021 May 27:1455613211018563. Epub 2021 May 27.

Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

Known complications of acute bacterial rhinosinusitis include retropharyngeal abscess, cavernous sinus thrombosis, intracranial abscess, and associated sequelae. We describe the case of a patient with longus colli abscess formation resulting from acute pansinusitis, complicated by bilateral cavernous sinus thrombosis in the setting of concurrent viral pneumonitis, severe sepsis, and a large area cerebral infarction. The bilateral longus colli abscesses were drained via stereotactic image-guided endonasal sinus surgery, yielding in culture. Read More

Cureus 2021 Mar 31;13(3):e14217. Epub 2021 Mar 31.

Internal Medicine/Infectious Disease, Skagit Regional Health, Mount Vernon, USA.

is a commensal bacteria of the human oropharynx, not thought to be pathogenic, and is rarely associated with serious infections, including bacteremia. Case reports involving invasive infections are uncommon in the literature. Retropharyngeal abscesses are unusual in adults, and are usually attributable to local trauma. Read More

J Int Med Res 2021 May;49(5):3000605211011972

Department of Tuberculosis, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine, Zhejiang Integrated Traditional and Western Medicine Hospital (Hangzhou Red Cross Hospital), Hangzhou, Zhejiang, P.R. China. Currently working in Hangzhou Occupational Disease Prevention Hospital.

Retropharyngeal abscess (RPA) is an acute or chronic deep neck tissue infection. Tuberculous RPA is chronic and extremely rare in adults. A 20-year-old female patient visited the local hospital due to cough and sputum. Read More

Eur Arch Otorhinolaryngol 2021 Apr 30. Epub 2021 Apr 30.

Department of ENT, JIPMER, Pondicherry, India.

Introduction And Objectives: Foreign body oesophagus is a commonly seen emergency in ENT. It is seen both in children and adults. When sharp bony foreign bodies such as chicken, fish, and mutton bone gets impacted in the oesophagus, it predisposes the patient to various complications. Read More

J Laryngol Otol 2021 May 16;135(5):467-469. Epub 2021 Apr 16.

ENT Department, Royal Melbourne Hospital, Melbourne, Australia.

Background: This paper reports the dangers of an ingested metal wire bristle from a barbeque brush, which resulted in oesophageal perforation.

Case Report: A 49-year-old gentleman presented to the emergency department with foreign body sensation and odynophagia after having consumed barbequed lamb for lunch. Computed tomography of the neck demonstrated a thin linear opacity near the thoracic inlet. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;56(4):387-389

Department of Neurology, Capital Institute of Pediatrics Children's Hospital, Beijing 100020, China.

Kyobu Geka 2021 Apr;74(4):313-316

Department of Surgery, Kagawa Prefectural Shirotori Hospital, Higashikagawa, Japan.

The case was a 57-year-old woman. She visited a local doctor with a chief complaint of sore throat. A retropharyngeal abscess was suspected, and she was referred to our otolaryngology. Read More

Medeni Med J 2021 26;36(1):75-79. Epub 2021 Mar 26.

Universiti Sains Malaysia, School of Medical Sciences, Department of Otorhinolaryngology- Head and Neck Surgery, Kelantan, Malaysia.

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. Read More

BMC Anesthesiol 2021 Apr 5;21(1):102. Epub 2021 Apr 5.

Head of the department Nose Throat Ear surgery, University hospital Antwerp, Drie Eikenstraat 655, 2650, Edegem, Belgium.

Background: Laryngeal mask airways (LMA) are commonly used for airway management. Complications with this device are rare. However, when they do occur, there is a high risk for respiratory problems, necessitating early diagnosis and treatment. Read More

Int J Pediatr Otorhinolaryngol 2021 May 28;144:110694. Epub 2021 Mar 28.

Department of Otorhinolaryngology and Head and Neck Surgery, Turku University Hospital and University of Turku, Kiinanmyllynkatu 4-8, 20520, Turku, Finland. Electronic address:

Purpose: Pediatric deep neck space infection (DNI) is a relatively rare but potentially life-threatening condition and requires prompt and accurate management. This study retrospectively reviews our experience in a tertiary referral hospital from 2004 to 2019.

Methods: Systematic data collection from medical records using ICD10 codes between 2004 and 2019. Read More

Clin Case Rep 2021 Mar 21;9(3):1548-1552. Epub 2021 Jan 21.

West Cancer Center Germantown TN USA.

It is possible to have a spontaneous hypopharyngeal and cervical esophageal perforation following yelling. We believe our case is the first study showing such an event, which can become catastrophic if not addressed in a timely manner. Read More

J Craniofac Surg 2021 Mar-Apr 01;32(2):691-693

Department of Otolaryngology-Head and Neck Surgery.

Background: Retropharyngeal abscesses are rarely reported in adults and occur mostly in patients with immunocompromised or as a foreign body complication. Admittedly, the treatment of retropharyngeal abscesses frequently involves surgical drainage to achieve the best results. However, when retropharyngeal abscesses occurred in a highly suspected patient with COVID-19, the managements and treatments should be caution to prevent the spread of the virus. Read More

Neurol Sci 2021 05 6;42(5):1683-1685. Epub 2021 Mar 6.

Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele, Milan, Italy.

Arq Neuropsiquiatr 2021 01;79(1):88

Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.

Ann R Coll Surg Engl 2021 Mar;103(3):208-217

The Rotherham Foundation Trust, Moorgate Road, Rotherham.

Introduction: Tonsillectomy is a common surgical procedure performed chiefly for recurrent tonsillitis. The Scottish Intercollegiate Guidance Network (SIGN) introduced guidelines in 1998 to improve patient selection for tonsillectomy and reduce the potential harm to patients from surgical complications such as haemorrhage. Since the introduction of the guidance, the number of admissions for tonsillitis and its complications has increased. Read More

Ann Otol Rhinol Laryngol 2021 Feb 10:3489421990161. Epub 2021 Feb 10.

Department of Otolaryngology-Head and Neck Surgery, University at Buffalo School of Medicine, Buffalo NY, USA.

Introduction: The objective of this study was to compare complications and other perioperative outcomes between intraoral and transcervical drainage of both retropharyngeal and parapharyngeal abscesses.

Materials And Methods: This was a retrospective study that analyzed data from the 2012 to 2016 National Surgical Quality Improvement Program (NSQIP)-Pediatric public use files. Baseline characteristics and perioperative outcomes including postoperative complications and length of hospital stay (LOS) were compared between intraoral and transcervical drainage groups. Read More

J Otol 2021 Jan 29;16(1):22-26. Epub 2020 Jul 29.

Department of Otolaryngology-Head and Neck Surgery, Tahar Sfar Hospital, Mahdia, 5100, Tunisia.

Introduction: Necrotising otitis externa (NOE) is a rare infection of the ear canal with frequent bone erosion. This study's objective is to describe the different features of NOE as well as its management in an ear-nose-throat department. We also tried to identify the particularities of the fungal infection. Read More

Int J Environ Res Public Health 2021 01 25;18(3). Epub 2021 Jan 25.

Sleep Research Center, Taipei Medical University Hospital, Taipei 11031, Taiwan.

This study aimed to investigate the annual incidence of parapharyngeal and retropharyngeal abscess (PRPA) based on 10-year population-based data. Patients with PRPA were identified from the Taiwan Health Insurance Research Database, a database of all medical claims of a randomly selected, population-representative sample of over two million enrollees of the National Health Insurance system that covers over 99% of Taiwan's citizens. During 2007-2016, 5779 patients received a diagnosis of PRPA. Read More

Surg Neurol Int 2021 13;12:15. Epub 2021 Jan 13.

Clinic of Neurosurgery, St. Ivan Rilski Hospital, Sofia, Bulgaria.

Background: The non traumatic, post inflammatory atlantoaxial rotatory instability, also known as Grisel's syndrome is a relatively rare condition usually affecting children. Adult cases are rare and even less frequently reported with separate case reports describing a single patient. Although antibiotic treatment and close neurological monitoring seem to be the gold standard of care, there is no general consensus on the optimal timing and extent of the surgical treatment. Read More

Vestn Otorinolaringol 2020 ;85(6):90-99

Moscow Regional Research and Clinical Institute (MONIKI), Moskow, Russia.

Acute tonsillopharyngitis is one of the most frequent reasons for visiting a doctor and prescribing inappropriate antibiotic therapy (ABT). There are several reasons for this - from the difficulties of etiological diagnosis and the development of relapses and possible severe complications to the personal attitude of doctors and patients to the choice of treatment. At the same time, the issue of antibiotic resistance and other aspects associated with the prescription of ABT is one of the most important problems of modern healthcare worldwide. Read More

Eur Arch Otorhinolaryngol 2021 Jul 9;278(7):2613-2618. Epub 2021 Jan 9.

Mid and South Essex Hospital Services NHS Trust, Chelmsford, UK.

Objectives: Guidance set out by Scottish Intercollegiate Guidelines Network (SIGN) sought to restrict the frequency of elective tonsillectomy in reaction to the recognised and substantial risks of the procedure, namely pain and bleeding. With stricter criteria in place before a patient can undergo tonsillectomy, patients must endure more episodes of tonsillitis than was previously the case. The cost of managing tonsillitis and its complications as an inpatient is substantial to the NHS and also to the economy as a whole in missed work days. Read More

BMJ Case Rep 2020 Dec 22;13(12). Epub 2020 Dec 22.

Oral and Maxillofacial Unit, Worcestershire Royal Hospital, Worcester, Worcestershire, UK.

A 50-year-old Caucasian man presented to the emergency department during the early stages of the COVID-19 pandemic with a rapidly progressive facial swelling, fever, malaise and myalgia. The patient had recently travelled to a COVID-19-prevalent European country and was therefore treated as COVID-19 suspect. The day before, the patient sustained a burn to his left forearm after falling unconscious next to a radiator. Read More

BMJ Case Rep 2020 Dec 18;13(12). Epub 2020 Dec 18.

Otorhinolaryngology, Pedro Hispano Hospital, Porto, Matosinhos, Portugal.

A 38-year-old woman with Crohn's disease, under immunosuppressive therapy, was referred to the emergency department for severe progressive neck pain and fever, with 1 week of evolution. She was unable to perform neck mobilisation due to the intense pain aroused. She referred dysphagia. Read More

Braz J Otorhinolaryngol 2020 Dec 5. Epub 2020 Dec 5.

Emek Medical Center, Department of Radiology, Afula, Israel.

Introduction: Acute longus colli tendinitis is caused by calcium hydroxyapatite deposition in the tendon of the longus colli muscle with subsequent inflammation. The calcifications are commonly located at the superior oblique portion at the level of the C1-C2 vertebrae. The typical clinical presentation consists of acute neck pain, odynophagia, and painful limitation of neck range of motion. Read More

Pan Afr Med J 2020 28;36:360. Epub 2020 Aug 28.

Unité Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, Hôpital Régional de Mamou, Mamou, Guinée.

The purpose of this study was to perform correlation of 5 cases and literature review. The study involved both children and adults. The major cause of retropharyngeal abscess was fish bone foreign body. Read More

Eur J Case Rep Intern Med 2020 24;7(11):001829. Epub 2020 Aug 24.

Internal Medicine and Infectious Diseases Department, C.H.U de Charleroi, Lodelinsart, Belgium.

The serological prevalence of Epstein-Barr virus (EBV) among young adults exceeds 90% worldwide. Even though EBV primary infection is usually benign, severe complications can occur in adolescents and young adults and so the disease must be promptly diagnosed. The development of an oropharyngeal abscess leading to a descending necrotizing mediastinitis (DNM) is exceptional and potentially lethal, so early diagnosis with a CT scan, appropriate antibiotics and surgery are essential. Read More

Pediatr Emerg Med Pract 2020 Nov 2;17(11):1-24. Epub 2020 Nov 2.

Assistant Professor of Pediatrics and Emergency Medicine, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

Head and neck infections can spread to nearby structures, compromising the airway and progressing to life-threatening events. Pediatric head and neck infections can be difficult to recognize; emergency clinicians must know the signs and symptoms of head and neck infections for early diagnosis and urgent management in order to prevent complications and decrease hospitalization rates. This issue reviews presenting signs and symptoms of pediatric head and neck infections, discusses when diagnostic studies are indicated, and offers evidence-based recommendations for management. Read More

Am J Emerg Med 2020 Jul 30. Epub 2020 Jul 30.

Department of Pediatric Emergency Medicine, Connecticut Children's Medical Center, Hartford, CT, United States of America.

J Med Case Rep 2020 Sep 6;14(1):148. Epub 2020 Sep 6.

Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.

Background: Acute calcific longus colli tendinitis is a rare, noninfectious inflammatory condition caused by the deposition of calcium crystals. The condition is self-limiting, yet commonly misdiagnosed. Here we report a case of a patient with severe neck pain and odynophagia initially misdiagnosed as a retropharyngeal abscess before establishing the correct diagnosis of acute calcific longus colli tendinitis. Read More

Clin Infect Dis 2021 May;72(10):1850-1853

Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.

George Washington's medical history has been recounted so many times and with such consistency that it seems that nothing new remains to be said about the panoply of disorders that plagued him during his life. The same can be said for the particular one that carried him off at age 67. We know that he had small pox, dysentery, recurrent attacks of malaria, and a host of other infections during his long and spectacularly productive career. Read More