Abscess ; diagnosis ; Diagnostic Errors ; Female ; Humans ; Middle Aged ; Nasopharyngeal Neoplasms ; diagnosis ; Pharyngeal Diseases ; diagnosis

Carcinoma ; Fistula ; Humans ; Hypopharyngeal Neoplasms/surgery* ; Hypopharynx ; Pharyngeal Diseases

The patient complained of recurrent sore throat for 2 years, who was diagnosed parapharyngeal abscess or tonsillitis for four times during June 16, 2012 to April 16, 2013. Special physical examination: left or right lateral pharyngeal wall is slightly elevated. Routine blood test showed increasing white blood cells and neutrophils. Oropharyngeal CT showed right lateral pharyngeal wall swelling and abscess formation? Repeated puncture showed no obvious purulent secretions. Symptoms were improved after anti-inflammatory treatment, but it recurrently happened later. Bilateral tonsillectomy was performed under general anesthesia on April 29, 2013. Pathological report (May 6, 2013) showed: (left) chronic tonsillitis with lymphoid hyperplasia; chronic inflammation in (right) tonsil tissue, and salivary gland tissue is also observed, considering as the hyperplasia of ectopic salivary gland tissue and interstitial lymphocytic oinfiltration.
Anesthesia, General ; Choristoma ; pathology ; Chronic Disease ; Humans ; Hyperplasia ; pathology ; Pharyngeal Diseases ; pathology ; Pharyngitis ; etiology ; Recurrence ; Salivary Glands ; Tonsillectomy ; Tonsillitis ; pathology

This paper reports a case of recurrence of tonsillar cancer on the right 6 months after radiotherapy with pharyngeal hemorrhage for 4 days and aggravation in the next day. The pharyngeal hemorrhage was severe in the case and the maximum of single amount of bleeding was approximately 200 ml. The examination showed active bleeding on the ulcer with a diameter of 2 cm in the right tonsil and the depth of 1 cm. After repeated compression hemostasis proved to be invalid, selective embolization was applied on the patient and the symtoms of pharyngeal hemorrhage disappeared without complications. The patient was discharged after 2 weeks of observation without any recurrence of hemorrhage.
Embolization, Therapeutic ; methods ; Hemorrhage ; etiology ; therapy ; Hemostasis ; Humans ; Neoplasm Recurrence, Local ; Palatine Tonsil ; Pharyngeal Diseases ; etiology ; therapy ; Recurrence ; Tonsillar Neoplasms ; complications

A comparison study was carried out on 1,242 medical records of pharyngolaryngeal disease among pediatric inpatients with ages of 1 -15 in Hue Central Hospital and 2852 medical records of pharyngolaryngeal diseases among pediatric inpatients with the same ages in Aue hospital, West Germany. Results showed that the pharyngolaryngeal diseases were leading diseases among diseases of ear, nose and pharynx in both hospitals. The rate of these diseases treated by operation in Aue hospital was higher than this in Hue hospital. There was difference of the morbidity rate between age groups. The rate of treatment of infection disease and infections complication in Hue hospital was higher than this in Aue hospital. The Aue hospital considered in prophylactic operation, diagnosis and rehabitation better than Hue hospital. There was no death in Aue hospital while there were 6 deaths in Hue hospital.
Laryngeal Diseases ; Pharyngeal Diseases ; Child

Adult ; Female ; Humans ; Laryngeal Diseases ; microbiology ; Male ; Middle Aged ; Pharyngeal Diseases ; microbiology ; Pharyngitis ; microbiology ; Syphilis ; Treponema pallidum

Humans ; Pyriform Sinus/surgery* ; Thyroid Neoplasms/diagnosis* ; Fistula/surgery* ; Diagnostic Errors ; Pharyngeal Diseases/surgery*

Congresses as Topic ; Laryngeal Diseases ; Pharyngeal Diseases

Adult ; Calcinosis ; Humans ; Male ; Pharyngeal Diseases

OBJECTIVE: To investigate the locations, predisposing factors, managements and outcomes of pharyngocutaneous fistula (PCF) following total laryngectomy in patients with advanced stage hypopharyngeal or laryngeal carcinomas. METHOD: One hundred and ninety-eight patients with advanced hypopharyngeal or laryngeal carcinomas who were performed by total laryngectomy were analyzed retrospectively. The multiple predisposing factors, including age, sex, preoperative radiotherapy, previous tracheostomy, stage, differentiation, site, neck dissection and postoperative fever, were analyzed. RESULT: The incidence of PCF was 16.7%. The situations of orificium fistulae lied in 69.7% superior segment, 21.2% inferior and 9.1% middle segment respectively. The incidence of PCF was 24.7% in hypopharynx and 11.6% in larynx respectively. There were significant differences between them. The differences of postoperative continuous fever beyond 5 days were statistical significance between the group of PCF and no PCF. In them, 28 patients of PCF were healed spontaneously and 5 of them were healed by surgical operation. CONCLUSION PCF is often situated in tongue base and post-superior of trachea stoma. Tumor locations and postoperative fever are important predisposition.
Adult ; Aged ; Cutaneous Fistula ; epidemiology ; etiology ; Female ; Humans ; Hypopharyngeal Neoplasms ; pathology ; surgery ; Incidence ; Laryngeal Neoplasms ; pathology ; surgery ; Laryngectomy ; adverse effects ; Male ; Middle Aged ; Neoplasm Staging ; Pharyngeal Diseases ; epidemiology ; etiology ; Postoperative Complications ; Retrospective Studies