MyMedR

Fulltext Parapharyngeal and retropharyngeal abscess: anatomical complexity and etiology

Brito-Mutunayagam S, Chew YK, Sivakumar K, Prepageran N

Med J Malaysia, 2007 Dec;62(5):413-5.

The differential diagnoses of an abscess deep in the neck are retropharyngeal abscess and parapharyngeal abscess. We report a case each of these deep neck space abscesses to highlight their difference with emphasis on its anatomy and possible etiologies.

Matched MeSH terms: Pharyngeal Diseases/diagnosis*; Pharyngeal Diseases/etiology

Fulltext Delayed complication of a foreign body causing retropharyngeal granuloma--a case report

Lee STS

Med J Malaysia, 1991 Mar;46(1):95-8.

PMID: 1836045

A 37 year old female who presented with a history of foreign body ingestion ten months previously was found on examination to have a retropharyngeal swelling. An initial differential of foreign body granuloma or retropharyngeal tuberculous abscess was considered. The usefulness of the lateral neck radiograph in demonstrating retropharyngeal pathology and the supplementary role of the computed tomography scan in confirming and elucidating the identity of the radio-opacity is highlighted. This presentation is a timely reminder of the need for a simple inexpensive lateral neck radiograph in situations of doubt as to persisting foreign body impaction.

Matched MeSH terms: Pharyngeal Diseases/etiology*; Pharyngeal Diseases/radiography

Fulltext Mediastinal abscess and pericarditis complicating retropharyngeal abscess--a case report

Elango S, Edward R, Purohit GN

Med J Malaysia, 1989 Dec;44(4):348-50.

PMID: 2520047

A case of retropharyngeal abscess complicated is reported and its management is outlined. Key words: Retropharyngeal abscess,Complication, Pericardities, Mediastinal abscess

Matched MeSH terms: Pharyngeal Diseases/complications*

Closure of a pharyngocutaneous fistula using a sternomastoid muscle flap

Raman R, Arumainathan UD

Can J Plast Surg, 2005;13(1):49.

PMID: 24223005

Presented here is a case of a pharyngocutaneous fistula which was closed primarily using a sternomastoid muscle flap, without skin coverage, thus obviating the need for a three-layered closure. Providing an intermediate cover was sufficient for the closure because the mucosal lining on the inside and the cutaneous covering on the outside grew using the muscle for support.

Matched MeSH terms: Pharyngeal Diseases

Pharyngeal tuberculosis

Goh KL, Chang CM

Trop Geogr Med, 1990 Jan;42(1):75-7.

PMID: 2260201

A case of pharyngeal tuberculosis is reported in a 54-year-old Chinese man. This is an uncommon condition and is often associated with pulmonary tuberculosis as in our patient.

Matched MeSH terms: Pharyngeal Diseases/drug therapy; Pharyngeal Diseases/etiology*; Pharyngeal Diseases/radiography

Fulltext Repair of pharyngocutaneous fistula (PCF) using montgomery salivary bypass tube after salvage total laryngectomy following failed primary radiotherapy: a case report

Teh, H. M., Mohd Sayuti, R., Kahairi, A., Bathma, D. S., Salman, A., Nor Kamaruzaman Esa, et al.

Asian Journal of Medicine and Biomedicine, 2018;2(1):0-0.

MyJurnal

The occurrence of pharyngocutaneous fistula (PCF) after total salvage laryngectomy following radiotherapy
as primary treatment is quite common. In most cases, pharyngocutaneous fistula can heal spontaneously
with conservative measures. Here, we are reporting a 69-year-old male with a residual carcinoma of the
larynx following failed radiotherapy as primary treatment whose later underwent a salvage total
laryngectomy. Post-operatively, it was complicated by the formation of pharyngocutaneous fistula which
was failed to heal with conservative measures and few attempts of surgical repair. The fistula later healed
with the application of Montgomery Salivarybypass tube after 3 weeks. The application of the salivary
bypass tube should be considered and used to promote healing in persistent pharyngocutaneous fistula
especially in a post radiotherapy patient.

Matched MeSH terms: Pharyngeal Diseases

Fulltext Oropharyngeal rhinosporidiosis in a migrant worker--a delayed presentation

Shailendra S, Prepageran N

Med J Malaysia, 2008 Mar;63(1):65-6.

PMID: 18935739

Rhinosporidiosis is a chronic granulomatous disease caused by an aquatic protistan parasite in the class of Mesomycetozoea, that is endemic in India and the subcontinent. This is a case report of a rhinosporidiosis presenting in an individual from Myanmar, whom had been working in Malaysia for the past four years. The disease is characterized by the appearance of polypoidal, friable growths that contain numerous spore filled cysts that stain with PAS staining. This disease is rarely seen in Malaysians due to the extensive urbanization in Kuala Lumpur, however the increasing numbers of migrant workers in Malaysia today necessitates an increasing awareness in clinicians of the possibility of these conditions.

Matched MeSH terms: Pharyngeal Diseases/diagnosis*

Pyopneumothorax--a rare sequelae of retropharyngeal abscess

Lokman S, Sani A, Sidek DS

J Laryngol Otol, 1993 May;107(5):460-2.

PMID: 8326234

A case of massive pyopneumothorax as a rare sequelae of retropharyngeal abscess following fish bone ingestion is reported. An initial attempt at removal of the fish bone in the oesophagus using the fibroptic oesophagoscope was unsuccessful, causing failure of its removal and the development of this rare and potentially fatal complication. The intercommunication of the retropharyngeal space with other spaces of the neck and thorax that allow this and most other complications to occur is described. Rigid endoscopes are the instrument of choice in retrieving sharp foreign bodies in the oesophagus.

Matched MeSH terms: Pharyngeal Diseases/etiology*

Fulltext Retropharyngeal abscess: case reports

Lee GT

Med J Malaysia, 1985 Mar;40(1):35-7.

PMID: 3831732

This paper deals with our experience of two cases of retropharyngeal abscess due to foreign body. A briefaccount ofthe anatomy. pathology, complications and treatment ofthis condition is given

Matched MeSH terms: Pharyngeal Diseases/etiology*

Diagnosis and treatment of branchial cleft anomalies in UKMMC: a 10-year retrospective study

Zaifullah S, Yunus MR, See GB

Eur Arch Otorhinolaryngol, 2013 Mar;270(4):1501-6.

PMID: 23053382 DOI: 10.1007/s00405-012-2200-7

Branchial cleft anomalies result from abnormal persistence of branchial apparatus, which is located at the lateral part of the neck. These occur due to failure of obliteration of the branchial apparatus during embryonic development. Differential diagnoses of lateral neck mass are salivary gland or neurogenic neoplasms, paragangliomas, adenopathies, cystic hygroma or cystic metastasis from squamous cell carcinoma or thyroid papillary carcinoma. Clinically, a branchial cyst is smooth, round, fluctuant and non-tender, and usually occurs over the upper part of the neck, anterior to the sternocleidomastoid muscle. Sometimes, it may present as infected cyst (or abscess), a sinus or fistula. Surgical excision is the definitive treatment for branchial anomalies. The objective of the work was to study the demographic data, clinical presentation, definite diagnostic workup and treatment of patients diagnosed with branchial anomalies. This is a retrospective study of 26 patients who were diagnosed with branchial anomalies (branchial cyst and fistula), of which only 12 patients had data available between July 1999 and June 2009 at the Otorhinolaryngology, Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre. Twelve cases of branchial anomalies were seen, in which 10 patients had second branchial cyst anomalies, 1 had third branchial fistula and 1 had bilateral branchial lesion. There were seven females and five males. The age of the patients varied over a wide range (4-44 years), but the majority of the patients were in their second and third decade of life. All branchial anomalies occurred at the classical site; eight patients had left-sided neck lesion. Correct clinical diagnosis was made only in five patients (41.6 %). All patients underwent surgical excision with no reported recurrence. Branchial anomalies are frequently forgotten in the differential diagnosis of lateral neck swelling. Diagnosis is usually delayed, leading to improper treatment. The diagnosis of patients who present with lateral neck cystic swelling with or without episodes of recurrent neck abscess should be considered with a high suspicion for branchial anomalies. FNA cytology is a good investigative tool in reaching toward a diagnosis of branchial lesion, with the concurrent assistance of radiological modalities. Surgical excision is the gold standard treatment of lesions of branchial anomalies.

Matched MeSH terms: Pharyngeal Diseases/diagnosis*; Pharyngeal Diseases/pathology; Pharyngeal Diseases/surgery*

Fulltext Collaural fistula: a case report

Subha, S.T., Janakiram, T.N., Goel, A., Susheen, H.K.

Malaysian Journal of Medicine and Health Sciences, 2013;9(2):73-75.

MyJurnal

Cervico-aural [collaural fistula] fistula is rare and it accounts for less than 5% of branchial cleft anomalies. In this paper, we report one such case of a 9 year old girl who was presented to us with two discharging cutaneous openings on the right side; one in the floor of the external auditory canal and another in the neck at the junction of the upper 2/3rd and lower third of the sternomastoid muscle along its anterior border.

Matched MeSH terms: Pharyngeal Diseases

Tuberculoid granulomatous lesion of the pharynx--review of the literature

Sharma HS, Kurl DN, Kamal MZ

Auris Nasus Larynx, 1998 May;25(2):187-91.

PMID: 9673733

Pharyngeal involvement in tuberculosis is rare and is usually secondary to pulmonary tuberculosis. We report a very rare case of chronic granulomatous pharyngitis, which later turned out to be due to primary tuberculosis of the pharynx. The clinical presentation, diagnosis, treatment and complications of this rare clinical entity are presented.

Matched MeSH terms: Pharyngeal Diseases/diagnosis*; Pharyngeal Diseases/pathology

Fulltext Feasibility of a bilateral regional sternocleidomastoid muscular flap in the closure of a persistent acquired tracheopharyngeal fistula

Goh LC, Santhi K, Arvin B, Mohd Razif MY

BMJ Case Rep, 2016 Aug 26;2016.

PMID: 27566213 DOI: 10.1136/bcr-2016-216676

An acquired persistent tracheopharyngeal fistula secondary to an infected tracheopharyngeal voice prosthesis is a common cause of recurrent aspiration pneumonia in a postlaryngectomy patient. We report a case of a successfully treated tracheopharyngeal fistula whereby both the sternocleidomastoid muscles were used as muscular flaps to close the defect and its outcome.

Matched MeSH terms: Pharyngeal Diseases/etiology; Pharyngeal Diseases/surgery*

Parapharyngeal abscess complicated by endophthalmitis: a rare presentation of nasopharyngeal carcinoma

Tan VE, Jeevanan J, Lee BR

J Laryngol Otol, 2008 Aug;122(8):867-70.

PMID: 17498332 DOI: 10.1017/S0022215107008195

We report an extremely rare case of nasopharyngeal carcinoma presenting as a lateral neck abscess complicated by endogenous bacterial endophthalmitis. Endogenous bacterial endophthalmitis complicating a neck abscess has not been reported in the recent English literature. We discuss the possible pathophysiology of neck abscess as a presenting feature of nasopharyngeal carcinoma, and the relationship between the parapharyngeal abscess and endogenous bacterial endophthalmitis.

Matched MeSH terms: Pharyngeal Diseases/etiology*; Pharyngeal Diseases/radiography

Fulltext An acute pharyngeal-cervical-brachial (PCB) variant of Guillain-Barre syndrome presenting with isolated bulbar palsy

Hamidon BB

Med J Malaysia, 2006 Jun;61(2):245-7.

PMID: 16898323 MyJurnal

Acute Guillain-Barre syndrome (GBS) is characterized by an acute onset of limb weakness and areflexia. There are a few rare variants that have been described and one of them is the pharyngeal-cervical-brachial (PCB) variant (oropharynx, neck, and proximal upper limb muscles). However, in this patient, the only presentation was bulbar involvement with fast recovery within days. This is likely to be the milder form of PCB that has rarely been described before. A 19-year-old Malay lady presented with progressive dysphagia associated with nasal voice for one week duration. There was no limb weakness. Examination showed generalized areflexia. Pharyngeal and palatal muscles were markedly weak. Cerebrospinal fluid (CSF) examination showed raised protein level. Nerve conduction studies revealed generalized demyelinating motor polyneuropathy consistent with GBS. The patient fully recovered within three days and was discharged well.

Matched MeSH terms: Pharyngeal Diseases/diagnosis*; Pharyngeal Diseases/etiology

Fulltext Parapharyngeal Abscess in Immunocompromised Patients

Gani, A.N., Abdullah, A., Hazim, M.Y.S., Rozman, Z.

Medicine & Health, 2007;2(2):158-163.

MyJurnal

Parapharyngeal abscess is a serious medical condition that may lead to life-threatening complications. Its incidence has dramatically decreased since the advent of antibiotics. We report two cases of parapharyngeal abscesses in immunocompromised patients. We believe that early diagnosis, broad-spectrum antibiotics, surgery and pus drainage can prevent serious complications.

Matched MeSH terms: Pharyngeal Diseases

Fulltext Two cases of congenital vallecular cyst: a reminder of the potentially fatal cause of upper airway obstruction in infants

Abd Aziz A, Abdullah AF, Ahmad RA

Malays J Med Sci, 2010 Jul;17(3):68-73.

PMID: 22135553 MyJurnal

Vallecular cyst, a benign yet rare laryngeal lesion, may cause stridor and even life-threatening upper airway obstruction in infants. It can cause apnoea and poor feeding habits, thus reducing the chance of survival. Although laryngomalacia remains the most common cause of stridor in this age group, awareness and a high level of suspicion for this condition can help lead to early management and intervention. Direct laryngoscopy is accepted as the gold standard for diagnostic purposes, and marsupialisation of the cyst is the preferred treatment. We describe 2 cases of vallecular cysts in infants admitted to our hospital where timely diagnoses led to appropriate treatment.

Matched MeSH terms: Pharyngeal Diseases

Fulltext Acute stridor in childhood; retropharyngeal abscess

Yeo TC

Med J Malaysia, 1988 Mar;43(1):65-73.

PMID: 3244324

Thirty-eight patients with acute stridor were admitted to the Paediatric Unit of the Alor Setar General Hospital over a three-year period (1984 - 1986). The causes are discussed and retropharyngeal abscess is highlighted as it is often initially overlooked. The clinical presentation and the problems in the diagnosis of the latter are discussedwith reference to the three cases seen.
Key words: Acute stridor in childhood, retropharyngeal abscess

Matched MeSH terms: Pharyngeal Diseases/complications*

Fulltext Paediatric oropharyngeal tularaemia requiring surgical intervention

Nemmour A, Bakri A, Fischer CA, Brand Y

BMJ Case Rep, 2019 Sep 06;12(9).

PMID: 31494583 DOI: 10.1136/bcr-2019-229754

Tularaemia is a rare infectious disease endemic in most European countries caused by the bacterium Francisella tularensis 1 Patients often show acute non-specific symptoms, which causes a delay in diagnosis and proper treatment, potentially resulting in significant morbidities such as deep neck abscess, meningitis, endocarditis and septic shock. The authors present a case of a 5-year old boy with a 4-day history of fever, sore throat and painful cervical lymphadenopathy, whose clinical progression worsened despite being treated with recommended antibiotics as per WHO guidelines once the diagnosis of Tularaemia was confirmed by serologic tests. He developed a parapharyngeal abscess and a persistent left necrotic cervical lymph node, which both were surgically drained and excised, respectively, and an extended course of antibiotic was given. Subsequently, the patient fully recovered from the illness and the follow-up was negative for relapse.

Matched MeSH terms: Pharyngeal Diseases/microbiology; Pharyngeal Diseases/surgery*

Endoscopic diagnostic and therapeutic management of branchial cleft fistula type III & IV: a single tertiary centre experience

Bee-See G, Anuar NA

Eur Arch Otorhinolaryngol, 2024 Dec;281(12):6711-6715.

PMID: 39073435 DOI: 10.1007/s00405-024-08853-0

INTRODUCTION: To date, recurrent neck abscesses associated with branchial anomalies are treated using a variety of techniques. Management strategies may include various imaging modalities and surgical methods. Endoscopic assessment and electrocauterization are the preferred diagnostic modalities and treatment strategies that have recently gained widespread acceptance and popularity.

METHODOLOGY AND RESULTS: This was a retrospective review on patients' medical record from 2016 to 2023. Seven patients underwent endoscopic cauterization at our centre, a tertiary academic institution. Five of the patients (71.5%) achieved complete remission. Two patients experienced recurrence within 6 months that necessitated re-cauterization once but subsequently recovered completely. Currently, endoscopic management is the preferred approach compared to the typical open neck excision surgery as it is significantly less invasive, resulting in lesser morbidity and similar success rates. At presentation, all of them had ultrasound neck that suggestive of neck abscess. Computed tomography or magnetic resonance imaging unable to provide adequate information about the side of internal opening of fistula where only 3 out of 7 patients demonstrated tract up to the ipsilateral region of pyriform fossa.

DISCUSSION: Management outcomes of this limited case series showed the potential benefits of endoscopic cauterization as the minimally invasive therapeutic method for recurrent neck abscesses caused by third and fourth branchial cleft fistulas but also to suggest the possibility as the first diagnostic tool prior to imaging studies.

Matched MeSH terms: Pharyngeal Diseases

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