Cases reported "Pharyngeal Diseases"

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1/7. Retropharyngeal hematoma: a complication of anticoagulant therapy.

    Retropharyngeal hematoma is a fatal condition if clinically missed. The typical presentation of a huge posterior pharyngeal mass pushing the uvula anteriorly and obstructing the airway is described in the following case report. The clinical symptoms, physical findings, and radiological work-up are presented along with a literature review.
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ranking = 1
keywords = physical
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2/7. Hairy polyp of the pharynx obscured on physical examination by endotracheal tube, but diagnosed on brain imaging.

    We report a case of hairy polyp of the pharynx diagnosed on brain MRI in order to stress the need to examine carefully all tissues included on an imaging study, even those outside the clinically stated region of interest, and to remind practitioners to consider unusual as well as common etiologies for neonatal respiratory distress. Our case is unique in that thorough examination of a brain MRI, ordered in the evaluation of presumed central apnea, led to the correct diagnosis.
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ranking = 34.4933445775
keywords = physical examination, physical
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3/7. Pharyngeal ulceration in AIDS patients secondary to cytomegalovirus infection.

    cytomegalovirus (CMV) infections in patients with acquired immunodeficiency syndrome are common and may present as retinitis, encephalitis, esophagitis, gastritis, enterocolitis, adrenalitis, or pneumonitis. Three patients are presented with pharyngeal ulcerations secondary to CMV. Similar cases have not been previously described in the literature. Symptoms, physical findings, and the treatment of this clinical entity are discussed. Although pharyngeal CMV ulcers are not life-threatening, they may herald multisystemic CMV infection that may require prompt antiviral chemotherapy.
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keywords = physical
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4/7. Infective complications of brief nasotracheal intubation.

    Two cases are described where infective complications, namely nasal septal abscess and parapharyngeal abscess, occurred after short-term (less than one hour) nasotracheal intubation. These conditions are serious as they can be life-threatening and in one case led to permanent physical disfigurement.
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keywords = physical
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5/7. Surgical treatment of hypopharyngeal stenosis in children.

    Five cases are presented of severe scarring, in the hypopharynx in children, which did not respond to conservative measures. These patients were treated by excision of the scar tissue and reconstitution of the area by Z-plasty, local mucosal flaps, regional chest flaps and colon transfer depending upon the severity of the problem. All had rehabilitation undertaken of the structural integrity of deglutive, respiratory, and vocal mechanisms. It is recommended that in this type of problem early rehabilitation is warranted rather than subjecting the child to prolonged gastrostomy and tracheotomy into puberty. When extended, the morbidity has a physical and psychological affect on these children.
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ranking = 1
keywords = physical
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6/7. Retropharyngeal masses in infants and young children.

    Six patients are described who illustrate different causes of retropharyngeal mass lesions in infants and young children. Differential diagnosis, clinical history, physical examination, and adequate roentgenographic evaluation of the neck are important.
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ranking = 8.6233361443751
keywords = physical examination, physical
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7/7. A wooden foreign body in the neck.

    foreign bodies in the throat and/or neck are uncommon and transpharyngeal impaction of a wooden foreign body in the neck without vascular injury is very rare. The patient presented in this communication, reported to our center five days after severe physical assault with a pharyngocutaneous fistula in the left side of the neck. Clinical examination and x-rays were unremarkable. Conservative treatment led to healing of the fistula and he was discharged. Two weeks later he was readmitted with an abscess in the right supraclavicular region. Exploration under general anaesthesia revealed a 7 cm long wooden fragment of a spear in the abscess cavity. The fragment was removed. After several days' antibiotic treatment, he recovered fully and was discharged.
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ranking = 1
keywords = physical
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