Posterior oro-pharyngeal wall tuberculosis

Secondary tuberculosis of pharynx is quite a rare condition as pharynx is not a common site for clinically manifest tuberculosis. This study reports a rare and unusual case of secondary oropharyngeal tuberculosis in a 40 years mole patient, who presented with an ulceroprotiferative lesion of Oropharynx extending to nasopharynx and laryngopharynx which besides being tender, bled on touch. There was no associated cervical lymphadenopathy. Routine laboratory investigations were within normal range except raised ESR. Chest x- ray revealed bilateral apical lesions. The patient vas put on antitubercular therapy, with which the patient improved.     

咽喉结核32例报告

目的　探讨咽喉结核的发病趋势与临床变化。方法　回顾性研究第三军医大学大坪医院 1982～ 2 0 0 0年 12月间 32例咽喉结核的临床资料。结果　①咽喉结核局部病变以单一病灶为主 ,主要侵犯声带 ( 10例 ) ;②病变形态以肿块 ( 11例 )或肉芽 ( 8例 )增生为主 ;③治疗以系统抗结核治疗为主 ,手术治疗为辅。 12例患者临床愈合 ;6例行手术治疗一期愈合 ,无并发症 ;14例经系统抗结核治疗后均得到有效控制。结论　咽喉结核的既往典型特征已不明显 ,现今临床症状与局部病变密切相关。     

Tuberculosis of pharynx and larynx: a report of 32 cases]

OBJECTIVE: To evaluate the trends and the clinical changes in tuberculosis of pharynx and larynx. METHODS: The clinical data of 32 patients with tuberculosis of pharynx and larynx from Jan. 1982 to Dec. 2000 in Daping hospital were studied retrospectively. RESULTS: (1) The local manifestations were mainly single lesion that commonly involved the vocal cord (10 cases). (2) The lesions appearances were mainly the proliferation such as mass (11 cases) or granulation(8 cases). (3) anti-tuberculosis is the main treatment, the operation is the second. Twelve patients cured in clinic, six patients received operation and cured without any complications. Fourteen patients condition controlled. CONCLUSION: The classical manifestations with tuberculosis of pharynx and larynx were not exited, the new clinical manifestations were associated with local lesion in nowadays.     

Tuberculosis of the larynx and pharynx in hospitalized patients in ENT Department of Voivodeship Hospital in Kalisz

8 cases of tuberculosis were presented in this paper. Two patients had changes in the larynx and pharynx and one patient had pharyngeal tuberculosis and squamous carcinoma of epiglottis. Further specialty investigations e.g. MDL, biopsy, histopathological and bacteriological examinations were done and revealed proper diagnosis tuberculosis. Etiology, pathogenesis, diagnostic were described. Changes of tuberculosis were in unusual location. All patients were treated tuberculostatic drugs.     

Smooth muscle tumour of the pharynx: a rare tumour presenting with globus pharyngeus symptoms

A rare case of a smooth muscle tumour in the pharynx is reported, together with histopathological findings. The patient's psychiatric background and recurrent complaint of a sensation of a lump in the throat all pointed to a psychogenic aetiology, and diagnosis was delayed. The importance of mirror or endoscopic examination of the pharynx is stressed in patients with globus pharyngeus symptoms.     

Osteocartilaginous choristoma: a case report

A choristoma is a benign tumour-like mass consisting of mature tissue derived from one or more germ cell layers that are foreign to the site at which they are located. Choristomas of the pharynx are rare with few cases being reported in the English literature. Management of these lesions is usually complete surgical excision. We report a case of osteocartilaginous choristoma arising from the pharynx.     

Report of 2 cases of tuberculous retoropharygeal abscess in adults

We report 2 cases of tuberculous retoropharyngeal abscess. Case 1 was a 21-year-old man with tuberculous cervical spondylitis and pulmonary tuberculosis and Case 2 was a 32-year-old woman with tuberculous lymph adenitis and military tuberculosis. Both reported sore throat and dysphagea. In case 1, throat examination showed a bulging abscess at the posterior wall of the pharynx. X-ray examination of the neck showed a massive soft tissue swelling on the lateral view. As soon as the diagnosis was established, prompt focal aspiration was done since the increasing danger of grave respiratory distress was expected. And moreover, surgical incision and drainage of retropharyngeal abscess were indicated. In case 2, intraoral midline incision through the posterior wall of the pharynx was administered because the abscess was small and limited. Though various tuberculous statics and antibiotics are available, tuberculous retropharyngeal abscess still occurs and should be considered to ensure rapid adequate attention to diagnosis and treatment.     

Hamartoma of the pharynx—A case report

A rare case of recurrent Hamartoma of the pharynx surgically treated is being reported for its clinical interest.     

咽喉结核34例临床分析

目的:提高临床医生对咽喉结核的认识。方法:回顾性总结我科1995年1月-2001年7月收治的34例咽喉结核患者的临床资料。结果:在病理确诊前仅9例怀疑为结核,其余病例分别被误诊为咽喉部非特异性炎症、恶性肿瘤等。结论:耳鼻咽喉科医生必须充分了解今日咽喉结核的临床特征。对可疑患者应尽早进行病理检查以明确诊断,减少误诊和漏诊。早期确诊和正规抗结核治疗有利于预后。     

Secondary syphilis of the tonsils

Secondary syphilis of the tonsils without accompanying signs in the mouth or pharynx is rare. A case report of a patient presenting with papular tonsillitis as a result of secondary syphilis is described.     

On aspects of laryngeal tuberculosis

In 1989-1998 the authors treated 50 patients (45 males and 5 females aged 21-68 years, mean age 46.2 years) with tuberculosis of the lungs and larynx. Pulmonary lesions were for the most part disseminated (58%) or infiltrative (24%). One patient had laryngeal tuberculosis combination with cancer of the laryngeal pharynx. Progression of the disease occurs frequently because of otorhinolaryngologists who make diagnostic errors when consulting patients who seek primarily their advice (60% of those with laryngeal tuberculosis) complaining about throat pain and hoarseness. In obscure cases, an attempt of antituberculosis treatment should be made.     

Repair of the defect after laryngeal surgery using the sternohyoid muscle and fascia

In order to achieve a radical excision of laryngeal cancer with preservation of its functions, the authors devised an operative procedure in which the defects of the larynx, oral pharynx, laryngeal pharynx and/or cervical esophagus were repaired with sternohyoid muscle and fascia. Since May 1981, this operation has been done on 52 patients with satisfactory results. The operative procedure and clinical materials are reported in this paper. This operation is simple, postoperative complications are rare, and it warrants further clinical trial.     

Benign mucous membrane pemphigoid of the upper aero-digestive tract: rare paraneoplastic syndrome presentation in renal cell carcinoma

Benign mucous membrane pemphigoid is a rare autoimmune disorder affecting the upper aero-digestive tract and conjunctivae. This is a case presentation of benign mucous membrane pemphigoid affecting the oral mucosa, pharynx, oesophagus and larynx, leading to cicatricial lesions in the pharynx and larynx, causing dysphagia, hoarseness and stridor. The alternative forms of management for laryngeal scarring due to this disease are explained. The patient was later diagnosed with advanced renal cell carcinoma, raising the possibility of cicatricial pemphigoid manifesting as a paraneoplastic syndrome of underlying renal cell carcinoma.     

Pharyngeal tuberculosis

PURPOSE: To increase awareness of tuberculosis (TB) as an important differential diagnosis of lesions in the pharynx and discuss its presentation. PATIENTS AND METHODS: The study included nine patients (2 males and 7 females); each with a diagnosis of primary pharyngeal tuberculosis (PTB). Of these, 3 had nasopharyngeal TB, 5 had tonsillar TB, and 1 had hypopharyngeal TB. The diagnostic criteria were either positive culture, positive smear, or histopathologic features of caseating granuloma consistent with TB in the biopsy specimen and a response to treatment. RESULTS: All patients had primary infection. The main presenting symptom in all nasopharyngeal TB was neck mass, whereas tonsillar TB patients presented with sore throats or discomfort. Dysphagia was the presenting symptom in hypopharyngeal TB. Six patients (3 with nasopharyngeal TB and 3 with tonsillar TB) had cervical adenopathy. The smear for acid-fast bacillus was positive in 4 patients (44.4%); culture was positive in 2 patients (22.2%). Histopathologic features of caseating granuloma, consistent with TB, were positive in all patients who received antituberculous medications. CONCLUSION: Otolaryngologists should consider pharyngeal TB as one of the differential diagnosis of lesions of the pharynx especially in those countries where TB is endemic.     

Cervical thymic cyst—A case report

A case of cervical thymic cyst in a five year old girl is reported. It was found to be extending between the greatvessels of the neck towards the pharynx. This type of presentation is rare which prompted us to document this case.     

Hairy polyps of the nasopharynx

Hairy polyps are rare tumours that can occur anywhere in the body. They are especially rare inthe pharynx. We report two cases of hairy polyps which originated from the nasopharynx. One presented with intermittent obstruction of the airway and the second presented as a visible pedunculated mass protruding from the mouth of a neonate.     

Lipomata of the pharynx

Two rare cases of lipomata arising from the pharynx are being reported. The tumors were excised and have showed no recurrence.     

Juvenile fibrous hamartoma of the pharynx.

A case of juvenile fibrous hamartoma of the pharynx in a three-year-old boy is described. It is a rare tumour, mostly occurring in the subcutaneous tissues in the infant. A pharyngeal localisation has not been described before. Complete local excision appeared sufficient for cure.     

Tuberculosis of the parotid salivary gland.

An interesting and rare case of tuberculosis involving a parotid gland is discussed. Although pulmonary tuberculosis is not uncommon in Turkey, primary parotid gland involvement is rare. The patient was treated by parotidectomy and antituberculous chemotherapy.     

Adenosquamous carcinoma of the lateral oropharyngeal wall

Adenosquamous carcinoma of the head and neck is a rare and aggressive tumor, with fewer than 100 cases reported in the world literature to date. We report a case of adenosquamous carcinoma of the oral pharynx arising as a second primary malignancy in a patient being treated for primary gastric MALT (mucosa-associated lymphoid tissue) lymphoma. We also review the literature to assess current treatment and long-term prognosis of this rare tumor.