1.Diagnosis and treatment of the primary cricopharyngeal achalasia.
Xiufen TIAN ; Jianchuang ZHAO ; Mingshuan LV
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2010;24(9):403-405
OBJECTIVE:
To summarize the diagnostic and therapeutic experience of primary cricopharyngeal achalasia and introduce new operandi modus.
METHOD:
Report the two cases we treated in 2008 and integrate published literature, and approach its diagnostic and therapeutic experience and make use of new operandi modus.
RESULT:
The diagnosis of primary cricopharyngeal achalasia is difficult, and we must apply exclusive diagnosis according to the examinations of fibrolaryngoscopy, esophagoscopy and barium meal et al.
CONCLUSION
Surgical treatment is the best option. Partial resection of cricopharyngeal muscle and upper esophageal ring-shaped muscle is superior to simple cricopharyngeal myotomy.
Aged
;
Esophageal Achalasia
;
diagnosis
;
surgery
;
Female
;
Humans
;
Middle Aged
;
Pharyngeal Diseases
;
diagnosis
;
surgery
;
Pharyngeal Muscles
;
physiopathology
4.Diagnosis and treatment of fungal granuloma on lateral pharynx.
Han DU ; Jian-Fu CHEN ; Zhi-Yuan LI ; Yue ZHANG ; Fan-Fan LI
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2005;40(1):70-71
Adult
;
Granuloma, Respiratory Tract
;
microbiology
;
Humans
;
Male
;
Mycoses
;
diagnosis
;
therapy
;
Pharyngeal Diseases
;
diagnosis
;
microbiology
;
therapy
6.Misdiagnosis of pharyngeal bursitis: clinical analysis.
Long-gui YOU ; Ke-hui ZHANG ; Xiao-an ZHANG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2006;41(3):224-225
Adolescent
;
Adult
;
Bursitis
;
diagnosis
;
therapy
;
Child
;
Diagnostic Errors
;
Female
;
Humans
;
Male
;
Middle Aged
;
Pharyngeal Diseases
;
diagnosis
;
therapy
;
Young Adult
7.Etiological analysis and individualized treatment of pharyngeal paraesthesia.
Zhengcai LOU ; Xuhong GONG ; Fangyi LOU ; Lanjuan HE ; Qiaoying ZHU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2009;23(14):639-645
OBJECTIVE:
To analyze the nosazontology of pharyngeal paraesthesia and investigate the treatment.
METHOD:
Two hundred and twelve misdiagnosed pharyngeal paraesthesia patients were investigated by history inquiry, routine examination, 24-hour esophageal pH monitoring, barium X-ray of the oesophagus, anxieties-athymic private measuring scale, coefficient of variation of the R-R (CVR-R), bioavailable testosterone detection (Bio-T), erection experiment and questionnaire about man climacteric syndrome. The concomitant symptoms and positions of pharyngeal paresthesia were also studied. We adopted individuallized sequential multi-therapy for every patient according to the cause of disease.
RESULT:
The cause of disease within 212 cases of pharyngeal paraesthesia included 62 psychic trauma, 32 endocrine system disease, 106 upper gastrointestinal disease, circulatory disease, 9 circulatory disease, 3 idiopathic. With individualized treatment, 110 cases had fully recovered, 63 cases excellence and 31 cases utility, and the efficiency rate was 96.23%.
CONCLUSION
Pharyngeal paraesthesia can be caused by several factors. Thorough examination and comprehensive analysis should be applied to those incurable patient who has been treated for a long time. Short course of treatment and irrational drug use are the main causes of short-term recurrence and unsatisfactory curative effect.
Adult
;
Aged
;
Female
;
Humans
;
Male
;
Middle Aged
;
Paresthesia
;
diagnosis
;
etiology
;
therapy
;
Pharyngeal Diseases
;
diagnosis
;
etiology
;
therapy
;
Pharynx
;
pathology
;
Young Adult
8.Analysis of clinical manifestations of pharyngeal and laryngeal amyloidosis.
Acta Academiae Medicinae Sinicae 2002;24(1):102-104
OBJECTIVETo study the clinical manifestations of pharyngeal and laryngeal amyloidosis.
METHODSRetrospective analysis of the clinical data of the inpatients with systemic and local amyloidosis.
RESULTSOf the 25 cases, sex ratio was 21:4, and average age was 48 years. Seventeen cases were systemic, of which 7 patients died in 2 years since diagnoses were made. One case was local bronchial amyloidosis. Seven cases were local primary pharyngeal and laryngeal amyloidosis and no affirmative death report was recorded since diagnoses were made.
CONCLUSIONSAmyloidosis occurs more likely in male and middle- and old-aged patients. Pharyngeal and laryngeal local primary amyloidosis have relatively better prognosis than that of systemic amyloidosis. Follow-up is important because local recurrence may be happened.
Adolescent ; Adult ; Aged ; Amyloidosis ; diagnosis ; Female ; Follow-Up Studies ; Humans ; Laryngeal Diseases ; diagnosis ; Male ; Middle Aged ; Pharyngeal Diseases ; diagnosis ; Retrospective Studies
9.Acute Retropharyngeal Calcific Tendinitis in an Unusual Location: a Case Report in a Patient with Rheumatoid Arthritis and Atlantoaxial Subluxation.
Seunghun LEE ; Kyung Bin JOO ; Kyu Hoon LEE ; Wan Sik UHM
Korean Journal of Radiology 2011;12(4):504-509
Retropharyngeal calcific tendinitis is defined as inflammation of the longus colli muscle and is caused by the deposition of calcium hydroxyapatite crystals, which usually involves the superior oblique fibers of the longus colli muscle from C1-3. Diagnosis is usually made by detecting amorphous calcification and prevertebral soft tissue swelling on radiograph, CT or MRI. In this report, we introduce a case of this disease which was misdiagnosed as a retropharyngeal tuberculous abscess, or a muscle strain of the ongus colli muscle. No calcifications were visible along the vertical fibers of the longus colli muscle. The lesion was located anterior to the C4-5 disc, in a rheumatoid arthritis patient with atlantoaxial subluxation. Calcific tendinitis of the longus colli muscle at this location in a rheumatoid arthritis patient has not been reported in the English literature.
Adult
;
Arthritis, Rheumatoid/*complications
;
Atlanto-Axial Joint/*physiopathology
;
Calcinosis/*complications/*diagnosis
;
Diagnosis, Differential
;
Dislocations/*complications
;
Female
;
Humans
;
*Magnetic Resonance Imaging
;
Pharyngeal Diseases/*complications/*diagnosis
;
Tendinopathy/*complications/*diagnosis
10.Subacute thyroiditis as seen initially in ENT department--a report of 30 cases.
Journal of Huazhong University of Science and Technology (Medical Sciences) 2002;22(1):82-83
To assess the pharyngeal presentations and the diagnostic value of thyroid SPECT and thyroid fine needle aspiratory biopsy (FNAB) in subacute thyroiditis (SAT) as seen initially in ENT department, 30 patients, during the course of SAT, were examined for pharyngeal symptoms and tested for serum T3, T4 level. The thyroid SPECT imaging or thyroid FNAB were performed. Our results showed that, of the 30 patients, 21 had sore throat of various degrees, and 9 had abnormal sensation of throat. Six were diagnosed as having SAT by only SPECT, in the remaining 24, the final diagnoses was established by SPECT combined with FNAB. Two of them were finally diagnosed as having SAT by trial treatment with oral prednisone. It is concluded that sore throat and abnormal sensation of pharynx are the important presentations of SAT, and thyroid SPECT imaging and thyroid FNAB are valuable in diagnosing SAT.
Adult
;
Diagnosis, Differential
;
Female
;
Humans
;
Male
;
Middle Aged
;
Pharyngeal Diseases
;
diagnosis
;
Pharyngitis
;
diagnosis
;
Thyroid Gland
;
diagnostic imaging
;
Thyroiditis, Subacute
;
diagnosis
;
diagnostic imaging
;
Tomography, Emission-Computed, Single-Photon