2,716 results match your criteria Retropharyngeal Hematoma


Traumatic pharyngeal perforation secondary to a syndesmophyte.

Radiologia 2018 Nov 27. Epub 2018 Nov 27.

Servicio de Radiodiagnóstico, Sección Radiología de Urgencias, Hospital Universitario Ntra. Sra. De Candelaria (HUNSC), Santa Cruz de Tenerife, España.

We report the case of a 57-year-old man who presented at the emergency department with injuries to his face and head after falling down the stairs. A head computed tomography examination done because he complained of an intense headache revealed air bubbles in the retropharyngeal space. Given this finding, a computed tomography of the neck was done to evaluate the possibility of pharyngeal perforation. Read More

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November 2018

Closing the Brief Case: Retropharyngeal Abscess in a 14-Year-Old Caused by Fusobacterium necrophorum.

J Clin Microbiol 2018 Dec 27;56(12). Epub 2018 Nov 27.

Department of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA

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December 2018

The Brief Case: Retropharyngeal Abscess in a 14-Year-Old Caused by Fusobacterium necrophorum.

J Clin Microbiol 2018 Dec 27;56(12). Epub 2018 Nov 27.

Department of Pathology and Laboratory Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA

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December 2018

Transoral Robotic Surgery With Transoral Retropharyngeal Lymph Node Dissection in Patients With Tonsillar Cancer: Anatomical Points, Surgical Techniques, and Clinical Usefulness.

J Craniofac Surg 2018 Nov 22. Epub 2018 Nov 22.

Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.

Objective: The purpose of this study was to evaluate the clinical usefulness of TORS and transoral robotic retropharyngeal lymph node (RPLN) dissection in tonsillar cancer patients with suspicious RPLN metastasis.

Methods: From April 2008 to March 2014, 71 patients with tonsillar cancer underwent transoral robotic surgery and standard neck dissection at the Yonsei Head and Neck Cancer Center.

Results: Three patients underwent transoral robotic ropharyngectomy with transoral robotic RPLN dissection because of suspicious RPLN metastasis. Read More

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November 2018
4 Reads

Comment on "retropharyngeal Steroids and Dysphagia Following Multilevel Anterior Cervical Surgery".

Spine (Phila Pa 1976) 2018 Nov 20. Epub 2018 Nov 20.

Xuanwu Hospital, Capital Medical University, Beijing, China.

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November 2018
2 Reads

Infections of the Neck.

Emerg Med Clin North Am 2019 Feb;37(1):95-107

Department of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson Street MC A-108, Loma Linda, CA 92354, USA. Electronic address:

Infection of the neck is a relatively common emergency department complaint. If not diagnosed and managed promptly, it may quickly progress to a life-threatening infection. These infections can result in true airway emergencies that may require fiberoptic or surgical airways. Read More

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February 2019
3 Reads

Infections of the Oropharynx.

Authors:
Matthew R Klein

Emerg Med Clin North Am 2019 Feb;37(1):69-80

Department of Emergency Medicine, Northwestern University, 211 East Ontario - Suite 300, Chicago, IL 60611, USA. Electronic address:

This article reviews the presentation, diagnosis, and management of common and "can't miss" infections of the oropharynx, including streptococcal pharyngitis, infectious mononucleosis, peritonsillar abscess, retropharyngeal abscess, and epiglottitis. Read More

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February 2019
2 Reads

[Acute retropharyngeal abscess after open neck trauma: a case report].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Nov;53(11):854-855

Department of Otorhinolaryngology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 311100, China.

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November 2018

[Deep neck space abscesses in children: 15 years of experience in a children's ENT referral unit].

An Pediatr (Barc) 2018 Nov 1. Epub 2018 Nov 1.

Servicio de Otorrinolaringología, Hospital General Universitario de Alicante, Alicante, España.

Introduction: Deep neck space abscesses in infants are clinical entities of great importance due to their severity and possible complications. The aim of the study is to review our experience in the diagnostic and therapeutic management of deep neck space abscesses, and compare it with published literature.

Material And Methods: Retrospective study was carried out on all patients diagnosed and treated for deep neck space abscesses over a 15-year period (2002-2016), including an analysis of the demographic, clinical, diagnostic and therapeutic characteristics. Read More

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November 2018
2 Reads

Retropharyngeal abscess as a paradoxical reaction in a child with multi-drug-resistant tuberculosis.

Paediatr Int Child Health 2018 Oct 4:1-3. Epub 2018 Oct 4.

c Department of ENT , Nanavati Hospital , Mumbai , India.

Paradoxical reactions (PRs) are exaggerated inflammatory responses owing to recovery of cellular immunity following initiation of anti-tuberculous therapy (ATT). The presentation is worsening of pre-existing symptoms or development of new lesions. A 14-year-old girl with multi-drug-resistant tuberculosis developed a recurrent asymptomatic retropharyngeal abscess while on ATT. Read More

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October 2018
1 Read

Cervical Pott's disease revealed by retropharyngeal abcess.

Presse Med 2018 Oct 30;47(10):918-921. Epub 2018 Sep 30.

University Tunis el Manar, Habib Thameur Hospital, Faculty of Medicine of Tunis, Internal Medicine Department, Ali-Ben-Ayed Street, Montfleury, 1008 Tunis, Tunisia.

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October 2018
1 Read
1.170 Impact Factor

[Adult parapharyngeal and retropharyngeal abscesses:clinical features and their implications for treatment strategy].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;32(17):1304-1308

Department of Otorhinolaryngology Head and Neck Surgery, Ningde Municipal Hospital affiliated of Fujian Medical University, Ningde Institute of Otolaryngology, Ningde, 352100, China.

To identify the clinical risk factors related to the increased likelihood of surgical drainage and medical therapy failure in parapharyngeal and retropharyngeal abscess. The charts of 93 consecutive patients from January 2006 to April 2017 with parapharyngeal and retropharyngeal abscess were reviewed retrospectively. Logistic regression analysis was used to study the clinical risk factors. Read More

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September 2018

Gardener-associated fibroma: an unusual cause of upper airway obstruction.

BMJ Case Rep 2018 Sep 28;2018. Epub 2018 Sep 28.

Department of Otorhinolaryngology, Royal Manchester Children's Hospital, Manchester, UK.

We present the first case of upper airway obstruction secondary to a retropharyngeal Gardner-associated fibroma (GAF). A 16-month-old infant presented with a 3-month history of worsening dyspnoea and apnoeic episodes. Examination revealed stridor and left-sided retropharyngeal asymmetry. Read More

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September 2018
1 Read

Acinetobacter Prevertebral Abscess: Presenting as Dysphagia in a Diabetic Patient.

Case Rep Infect Dis 2018 4;2018:6051641. Epub 2018 Sep 4.

Department of Medicine, Faculty of Medicine, University of Jaffna, Jaffna, Sri Lanka.

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. Read More

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September 2018
6 Reads

Evidence on Effectiveness of Upper Neck Irradiation Versus Whole Neck Irradiation as Elective Neck Irradiation in Node-Negative Nasopharyngeal Cancer: A Meta-Analysis.

J Glob Oncol 2018 Sep 30(4):1-11. Epub 2016 Nov 30.

Jayson L. Co and Michael Benedict A. Mejia, Benavides Cancer Institute, University of Santo Tomas Hospital, Espana; and Janine Margarita R. Dizon, Center for Health Research and Movement Science, University of Santo Tomas, Manila, the Philippines.

Purpose: Nasopharyngeal carcinoma (NPC) is a central tumor with a rich lymphatic network and a propensity for bilateral cervical lymph node metastasis. There is an orderly pattern of lymph node involvement in NPC. There is no current standard for prophylactic neck irradiation in node-negative or limited retropharyngeal (RP) node-positive NPC. Read More

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September 2018

Transclival Venous Circulation: Anatomic Study.

World Neurosurg 2018 Sep 18. Epub 2018 Sep 18.

Seattle Science Foundation, Seattle, Washington, USA; Department of Anatomical Sciences, St. George's University, Grenada, West Indies.

Introduction: The clivus is a small, central area of the basal cranium with limited surgical access and high morbidity associated with pathologies of its surrounding structures. Therefore thorough knowledge and understanding of the anatomy in this region are crucial for the success of treatments and interpretation of imaging. As to our knowledge, there is no extant cadaveric examination of the transclival veins, so the present study was performed. Read More

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September 2018
1 Read

Injection Pharyngoplasty With a Hyaluronic Acid and Dextranomer Copolymer to Treat Velopharyngeal Insufficiency in Adults.

Mayo Clin Proc Innov Qual Outcomes 2017 Sep 2;1(2):176-184. Epub 2017 Aug 2.

Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN.

Objective: To describe the treatment of adult velopharyngeal insufficiency (VPI) with injection of a hyaluronic acid and dextranomer copolymer (Dx/HA).

Patients And Methods: This was a retrospective case series of 25 consecutively treated adults with VPI who underwent Dx/HA injection pharyngoplasty in a multidisciplinary clinic from January 1, 2011, to December 31, 2014. Data recorded included etiology of VPI, perceptual analysis of resonance, nasalance scores, and estimation of velopharyngeal gap characteristics on video nasendoscopy before and after the intervention. Read More

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September 2017
8 Reads

Accuracy of objective parameters in acute epiglottitis diagnosis: A case-control study.

Medicine (Baltimore) 2018 Sep;97(37):e12256

Department of Emergency Medicine.

Lateral neck radiography is often used as a screening tool in emergency departments for suspected acute epiglottitis. The qualitative radiographic signs have been mainly used. The aim of this study was to evaluate the accuracy of objective radiographic parameters to aid diagnosis of acute epiglottitis. Read More

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September 2018
6 Reads
5.720 Impact Factor

Pneumomediastinum, Pneumopericardium, and Epidural Pneumatosis following Adenotonsillectomy: A Very Rare Complication.

Case Rep Otolaryngol 2018 19;2018:4531364. Epub 2018 Aug 19.

Otorhinolaryngology Department, Adana City Research and Training Hospital, University of Health Sciences, Adana, Turkey.

Adenotonsillectomy is a common surgical otolaryngology procedure that is associated with several complications, including hemorrhage, odynophagia, damage to teeth, taste disorders, atlantoaxial subluxation, lingual edema, infection, and injury of the carotid artery. Pneumomediastinum, pneumopericardium, and epidural pneumatosis are an extremely unusual condition in children with adenotonsillectomy. Treatment should be conservative in the majority of cases and based on benign self-limiting course of these diseases; early recognition can prevent further complications. Read More

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August 2018
6 Reads

The full-endoscopic uniportal technique for decompression of the anterior craniocervical junction using the retropharyngeal approach: an anatomical feasibility study in human cadavers and review of the literature.

J Neurosurg Spine 2018 Sep 7:1-7. Epub 2018 Sep 7.

Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group-Catholic Hospital Rhein-Ruhr, St. Anna Hospital Herne, University of Witten/Herdecke, Herne, Germany.

OBJECTIVE Acute or progressive myelopathy may necessitate direct anterior decompression of the craniocervical junction and odontoidectomy. Different techniques with individual advantages and disadvantages can be used. In addition to the gold standard-the transoral approach-there is also increasing experience with the endoscopic transnasal technique. Read More

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September 2018
5 Reads

Traumatic Retropharyngeal Hematoma in a Patient Taking Clopidogrel.

Case Rep Emerg Med 2018 13;2018:6147473. Epub 2018 Aug 13.

Department of Emergency Medicine, Michigan State University College of Human Medicine, Sparrow Health System Lansing, Michigan, USA.

The development of a retropharyngeal hematoma may lead to acute airway compromise requiring emergent airway stabilization. We describe the development of a retropharyngeal hematoma in an elderly woman who sustained a fall from standing approximately 10 hours prior to symptom onset who was taking the antiplatelet agents clopidogrel and aspirin. This delayed onset of rapid airway compromise secondary to a retropharyngeal hematoma following a fall in a patient taking clopidogrel is an unusual and potentially life threatening event. Read More

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Confluent Retropharyngeal, Lateral Pharyngeal, and Peritonsilar MRSA Abscess in an Infant.

Pediatr Emerg Care 2018 Sep;34(9):e161-e164

Division of Pediatric Emergency Medicine, Department of Pediatrics, Hamad Medical Corporation.

Neck abscesses such as retropharyngeal, peritonsilar, and lateral pharyngeal are well described, typically cause a characteristic illness, and have a known epidemiology. We present a rare occurrence of case of confluent, mixed retropharyngeal, lateral pharyngeal, and peritonsilar abscess in a 9-month-old female infant. The symptoms at presentation were very mild and not expected in association with this extensive an abscess. Read More

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September 2018
1 Read

Full-endoscopic uniportal retropharyngeal odontoidectomy for anterior craniocervical infection.

Minim Invasive Ther Allied Technol 2018 Sep 4:1-8. Epub 2018 Sep 4.

a Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group , Catholic Hospital Rhein-Ruhr, St. Anna Hospital Herne/Marien Hospital Herne, University Hospital of the Ruhr University of Bochum/Marien Hospital Witten , Herne , Germany.

Background: Infections of the anterior craniocervical junction may require surgery. There are various techniques with individual advantages and disadvantages. This study evaluates the full-endoscopic uniportal technique via the anterior retropharyngeal approach for odontoidectomy, decompression, and debridement. Read More

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September 2018
10 Reads

Geographic health disparities in the Los Angeles pediatric neck abscess population.

Int J Pediatr Otorhinolaryngol 2018 Oct 26;113:134-139. Epub 2018 Jul 26.

Caruso Department of Otolaryngology, Head and Neck Surgery Keck School of Medicine, University of Southern California, Los Angeles, CA, USA; Division of Otolaryngology, Head and Neck Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA. Electronic address:

Objective: To assess geographical sociodemographic differences in neck abscesses that require surgical drainage in Los Angeles.

Study Design: retrospective review.

Methods: We reviewed the medical records of 119 consecutive pediatric patients at Children's Hospital Los Angeles (CHLA) from 2014 to 2017 with a diagnosis of a neck abscess requiring incision and drainage. Read More

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October 2018
2 Reads

Retropharyngeal vascular malformation removed using transoral robotic surgery-A case report.

Int J Surg Case Rep 2018 9;51:71-73. Epub 2018 Aug 9.

Department of Otorhinolaryngology, Aarhus University Hospital, DK-8200, Denmark.

Introduction: Although vascular lesions are relatively common in head and neck, they are rarely seen in the retropharyngeal space. Frequent symptoms include mass sensation, dysphagia, dyspnea, snoring, and oral bleeding.

Presentation Of Case: A 31-year-old male was referred from his general practitioner with mass sensation in the throat, increasing snoring, and changing resonance of his voice. Read More

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August 2018
5 Reads

Reversible Acute Anterior Longitudinal Ligament Calcification With Retropharyngeal Inflammation.

J Clin Rheumatol 2018 Aug 23. Epub 2018 Aug 23.

Neurology Department, American University of Beirut Medical Center, Beirut, Lebanon. Doctors Center Beirut, Lebanon. Division of Orthopedic Surgery, Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon. Division of Neurosurgery, Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon. Neurology Department, American University of Beirut Medical Center, Beirut,

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Ventral cervical versus bilateral lateral approach for extirpation of mandibular and medial retropharyngeal lymph nodes in dogs.

Vet Surg 2018 Jul;47(5):629-633

Department of Surgical and Radiologic Sciences, College of Veterinary Medicine, University of California-Davis, Davis, California.

Objective: To compare ventral cervical and bilateral lateral incisions for extirpation of mandibular and medial retropharyngeal lymph nodes in dogs.

Study Design: Prospective randomized, crossover controlled cadaver trial.

Sample Population: Eight veterinarians with advanced surgical training. Read More

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July 2018
5 Reads

Retropharyngeal Hematoma as an Unusual Presentation of Myelodysplastic Syndrome: A Case Report.

Am J Case Rep 2018 Aug 17;19:969-972. Epub 2018 Aug 17.

Frank H. Netter MD School of Medicine, Quinnipiac University, Hamden, CT, USA.

BACKGROUND Retropharyngeal hematoma is a relatively rare diagnosis that requires a high clinical suspicion and stabilization of the airway to prevent rapid deterioration. We report a case of a spontaneous retropharyngeal hematoma in an elderly patient with myelodysplastic syndrome and associated thrombocytopenia. CASE REPORT A 90-year-old man with myelodysplastic syndrome was brought to the Emergency Department with complaints of difficulty swallowing and muffled voice for 24 hours. Read More

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August 2018
19 Reads

Acute Non-calcific Retropharyngeal Tendinitis.

Intern Med 2018 12 10;57(23):3499-3500. Epub 2018 Aug 10.

Department of Geriatric Medicine, Osaka University Graduate School of Medicine, Japan.

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December 2018

An Unusual Cause for Intermittent Stridor and Dysphagia in an Infant.

Pediatr Emerg Care 2018 Aug;34(8):e139-e140

Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Minnesota, Minneapolis, MN.

Stridor is a common presenting symptom in young children and is produced by turbulent flow through the upper airway or trachea. In children under 12 months of age, stridor is commonly caused by laryngomalacia, tracheomalacia, croup, airway foreign body, and/or retropharyngeal abscess. In atypical presentations of stridor, soft tissue neck radiographs can be helpful to determine the underlying etiology. Read More

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August 2018
6 Reads

Technique for reconstruction of large clival defects through an endoscopic-assisted tunneled retropharyngeal approach.

Int Forum Allergy Rhinol 2018 Dec 2;8(12):1454-1458. Epub 2018 Aug 2.

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Reconstruction of the clivus and posterior cranial base defects following endoscopic skull-base surgery can be particularly challenging. Commonly, defects in this region are repaired with pedicled mucoperichondrial flaps from the sinonasal cavity. Complex and large defects often require regional or free flaps, particularly when intranasal flaps have been exhausted. Read More

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December 2018
13 Reads

Protective efficacy of a canine brucellosis vaccine candidate based on live attenuated Salmonella expressing recombinant Brucella BCSP31, Omp3b and SOD proteins in Beagles.

J Vet Med Sci 2018 Sep 31;80(9):1373-1379. Epub 2018 Jul 31.

College of Veterinary Medicine, Chonbuk National University Special Campus, Iksan 54596, South Korea.

The aim of this study was to establish a proof-of-concept of protective efficacy of Salmonella-based B. abortus vaccine candidate in Beagles. Group A Beagles (n=10) were subcutaneously (SC) inoculated with S. Read More

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September 2018
1 Read

A RARE CASE OF CROHN DISEASE COMPLICATED WITH STEROID MONOTHERAPY-RELATED RETROPHARYNGEAL ABSCESS AND INITIALLY MISINTERPRETED PYODERMA GANGRENOSUM DEVELOPMENT.

Gastroenterol Nurs 2018 Jul/Aug;41(4):347-351

Michael Doulberis, PhD, MD, DVM, Department of Internal Medicine, Bürgerspital Hospital of Solothurn, Solothurn, Switzerland; and Division of Gastroenterology, Second Department of Internal Medicine, Ippokration Hospital, Medical School of Aristotle University, Thessaloniki, Macedonia, Greece. Jörg Dähn, MD, Department of Otorhinolaryngology, Bürgerspital Hospital of Solothurn, Solothurn, Switzerland. Jannis Kountouras, PhD, MD, is Professor, Division of Gastroenterology, Second Department of Internal Medicine, Ippokration Hospital, Medical School of Aristotle University, Thessaloniki, Macedonia, Greece. Volker Maier, MD, Department of Internal Medicine, Bürgerspital Hospital of Solothurn, Solothurn, Switzerland. Arthur Helbling, MD, is Professor, Division of Allergology, University Clinic of Rheumatology, Immunology & Allergology, Inselspital/University Hospital Bern, Switzerland. Patrick Dubach, MD, is Head, Department of Otorhinolaryngology, Bürgerspital Hospital of Solothurn, Solothurn, Switzerland.

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August 2018
1 Read

Neck stiffness in a post-irradiated nasopharyngeal carcinoma adult: An unusual diagnosis.

Auris Nasus Larynx 2018 Jul 23. Epub 2018 Jul 23.

Otorhinolaryngology Department, University Malaya Medical Centre, 46200 Kuala Lumpur, Malaysia.

Nasopharyngeal carcinoma is a neoplasm commonly found in population of South East Asia. The mainstay of treatment is high dose irradiation. Complications from radiotherapy are not uncommon especially to those nearby structures such as vertebrae and spinal cord. Read More

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July 2018
4 Reads

Local extensive granulomatous inflammation of the neck region and lymphangitis caused by infection in a Japanese Black calf.

Med Mycol Case Rep 2018 Sep 17;21:37-40. Epub 2018 Apr 17.

Department of Veterinary Pathology, Faculty of Agriculture, University of Miyazaki, Gakuen-kibanadai-nishi-1-1, 889-2192 Miyazaki, Japan.

A 7-month-old female Japanese Black calf developed elongated, nodular mass measuring 30 × 16 cm extended from the retropharyngeal region to mid lateral neck region. Histological examination revealed granulomatous lymphangitis with non-septate fungal hyphae recognized throughout the lesions. Fungal culture, DNA sequencing and molecular phylogenetic tree analysis confirmed the sequence of . Read More

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September 2018

Evaluation of the General Organization of Veterinary Services control program of animal brucellosis in Egypt: An outbreak investigation of brucellosis in buffalo.

Vet World 2018 Jun 6;11(6):748-757. Epub 2018 Jun 6.

Department of Animal Medicine, Faculty of Veterinary Medicine, Aswan University, Egypt.

Background And Aim: Brucellosis is a major constraint to livestock production in Egypt as well as many developing countries worldwide. Bovine brucellosis is an economically important disease with reproductive failure as a principal manifestation resulting in abortion, premature birth and decreased milk production in females, and orchitis and epididymitis in males. In spite of the efforts of Egyptian veterinary services to overcome brucellosis, the disease is still prevalent in both animals and humans and represents one of the most important public health hazards in Egypt. Read More

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June 2018
10 Reads

Diagnostic accuracy of contrast-enhanced computed tomography for assessment of mandibular and medial retropharyngeal lymph node metastasis in dogs with oral and nasal cancer.

Vet Comp Oncol 2018 Dec 10;16(4):562-570. Epub 2018 Jul 10.

Department of Small Animal Clinical Sciences, University of Florida, Gainesville, Florida.

The diagnostic accuracy of contrast-enhanced CT for detection of cervical lymph node metastasis in dogs is unknown. The purpose of this retrospective, observational, diagnostic accuracy study was to assess the efficacy of CT for detection of mandibular and medial retropharyngeal lymph node metastasis in dogs. Histopathology of dogs with cancer of the head, CT and bilateral mandibular and medial retropharyngeal lymphadenectomy was reviewed. Read More

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December 2018

Transoral robotic resection of a retropharyngeal parathyroid adenoma: a case report.

J Robot Surg 2018 Jul 9. Epub 2018 Jul 9.

Department of Otolaryngology - Head and Neck Surgery, Wayne State University, Detroit, MI, USA.

Transoral robotic surgery (TORS) has become an increasingly popular option for early malignancies of the oropharynx. It offers superior visualization and has been proven to have acceptable functional and oncologic outcomes. Additionally, indications in head neck have expanded to manage tumors of the thyroid, neck, parapharyngeal space and salivary glands. Read More

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July 2018
6 Reads

Retropharyngeal SOL: An unusual presentation of a multifaceted entity.

Cytojournal 2018 22;15:12. Epub 2018 May 22.

Department of ENT, PGIMER, Dr. RML Hospital, New Delhi, India.

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Non-traumatic causes of fluid in the retropharyngeal space.

Authors:
Alok A Bhatt

Emerg Radiol 2018 Jun 23. Epub 2018 Jun 23.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, PO Box 648, Rochester, NY, 14642, USA.

There are multiple reasons for imaging the soft tissues of the neck in the emergency setting, in particular when symptoms are vague or if there is worry for complications from a certain clinical diagnosis. When fluid is seen in the retropharyngeal space, it is important to pay attention to history and look at key structures in the neck. This article will discuss anatomy of the retropharyngeal space, followed by four causes of fluid within the space that the radiologist is likely to encounter in the emergency setting: tonsillitis/pharyngitis, acute calcific tendinitis of the longus colli muscles, internal jugular vein thrombosis, and post-radiation changes. Read More

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June 2018
8 Reads

Optimization of cervical lymph node clinical target volume delineation in nasopharyngeal carcinoma: a single center experience and recommendation.

Oncotarget 2018 Jun 5;9(43):26980-26989. Epub 2018 Jun 5.

Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.

Nasopharyngeal carcinoma (NPC) are characterized by distinct lymph node metastasis patterns. In order to minimize cervical lymph node irradiation volume, 379 NPC patients with metastatic cervical lymph nodes were eligible for geographic mapping. All lymph nodes were mapped into simulation computed tomography images of a template lymph node negative patient. Read More

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June 2018
11 Reads

Usual suspects: the foreign bodies of the aerodigestive tract.

BMJ Case Rep 2018 Jun 21;2018. Epub 2018 Jun 21.

Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

This case series is about four different foreign bodies lodged in different locations of the aerodigestive tract. All four cases had delayed diagnosis due to inconspicuous history. Radiology in the form of computed tomography aided the appropriate diagnosis in most of these cases. Read More

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June 2018
2 Reads

A novel N staging system for NPC based on IMRT and RTOG guidelines for lymph node levels: Results of a prospective multicentric clinical study.

Oncol Lett 2018 Jul 9;16(1):308-316. Epub 2018 May 9.

Department of Radiation Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, P.R. China.

The present study aimed to investigate the cervical lymph node metastasis of nasopharyngeal carcinoma (NPC) and to establish a novel N staging standard for NPC, based on intensity modulated radiation therapy (IMRT) via a prospective multicenter clinical trial. Between January 2006 and December 2009, a total of 492 patients with NPC without distant metastasis were included in the present study. All patients were treated with IMRT. Read More

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July 2018
6 Reads

Prevalence, prognosis, and treatment implications of retropharyngeal nodes in unknown primary head and neck carcinoma.

Oral Oncol 2018 Jul 1;82:162-167. Epub 2018 Jun 1.

Department of Otolaryngology, Head and Neck Surgery/Surgical Oncology, University Health Network, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Objective: (1) To estimate the prevalence of radiographically positive Retro-Pharyngeal Lymph Nodes (RPLN) in unknown primary carcinoma of the head and neck and (2) to determine the prognostic implications of radiographically positive RPLN and other radiographic features (3) to identify patients at low risk for retropharyngeal metastasis.

Materials And Methods: The medical records of all 68 eligible patients treated at the Princess Margaret Cancer Centre between 2000 and 2014 were retrospectively reviewed for demographic, clinical, pathologic, and radiologic data. Radiologic data included: RPLN, extra capsular spread (ECS), neck staging and cystic/necrotic or matted neck nodes. Read More

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July 2018
8 Reads
3.610 Impact Factor

Treatment of giant cervico-mediastinal lymphatic malformations: a case series.

J Med Case Rep 2018 Jun 15;12(1):167. Epub 2018 Jun 15.

Department of Pediatrics, Dong-A University College of Medicine, Dong-A Medical Center, Busan, South Korea.

Background: Lymphatic malformations are histologically benign vascular structures that vary in anatomic lesion and size. Extensive head and neck lymphatic malformations may be life-threatening. In the present study, we described three difficult-to-treat infants with giant cervico-mediastinal lymphatic malformations accompanied by severe respiratory distress. Read More

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June 2018
1 Read

Clinical and Imaging Features of Longus Colli Calcific Tendinitis: An Analysis of Ten Cases.

Clin Orthop Surg 2018 Jun 18;10(2):204-209. Epub 2018 May 18.

Spine Center and Department of Orthopaedic Surgery, Pohang Semyeong Christianity Hospital, Pohang, Korea.

Background: Longus colli calcific tendinitis (LCCT) exhibits characteristic clinical features; thus, misidentification can be avoided once it is learned. There is a lack of reports on this disease. In this study, we analyzed the imaging and clinical features of LCCT in 10 patients. Read More

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Taking heed of the 'danger space': acute descending necrotising mediastinitis secondary to primary odontogenic infection.

BMJ Case Rep 2018 May 30;2018. Epub 2018 May 30.

Radiology, Fiona Stanley Hospital, Murdoch, Australia.

Descending necrotising mediastinitis (DNM) is an uncommon clinical entity which may arise secondary to primary odontogenic or neck infection in susceptible patients. Infection may spread contiguously via the alar or 'danger' space, a potential anatomical space posterior to the true retropharyngeal space. Spread of infection to the mediastinum almost always necessitates urgent cardiothoracic surgical intervention. Read More

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May 2018
3 Reads

Pathologic study of tumour extension for clinically localized unilateral nasopharyngeal carcinoma: Should the contralateral side be included in the clinical target volume?

J Med Imaging Radiat Oncol 2018 May 28. Epub 2018 May 28.

Department of Radiation Oncology, Fujian Medical University Union Hospital, Fuzhou, China.

Introduction: The clinical target volume (CTV) delineation is crucial for tumour control and normal tissue protection. This study investigated the contralateral extension of nasopharyngeal carcinoma (NPC) in patients with a clinically diagnosed unilateral tumour to pursue the possibility of CTV reduction.

Methods: Twenty NPC patients with localized tumours confined to only one side of the nasopharynx as shown by magnetic resonance imaging and fibreoptic endoscopy were selected for biopsy. Read More

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May 2018
34 Reads

[Nasal catheter drainage for treatment of retropharyngeal abscess].

Authors:
Z X Quan N Li X J

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Jul;31(13):1031-1033

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