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Journal articles on the topic 'Neck/Throat'

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Author: Grafiati

Published: 25 July 2024

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1

Ratnaraj, Jebadurai, Alexandre Todorov, Tom McHugh, Mary Ann Cheng, and Carl Lauryssen. "Effects of decreasing endotracheal tube cuff pressures during neck retraction for anterior cervical spine surgery." Journal of Neurosurgery: Spine 97, no. 2 (September 2002): 176–79. http://dx.doi.org/10.3171/spi.2002.97.2.0176.

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Object. The authors' goal was to determine whether the incidence of postoperative sore throat, hoarseness, and dysphagia associated with anterior spine surgery is reduced by maintaining endotracheal tube cuff pressure (ETCP) at 20 mm Hg during the period of neck retraction. Methods. Fifty-one patients scheduled for anterior cervical spine surgery were enrolled. After intubation, ETCP was adjusted to 20 mm Hg in all patients. Following placement of neck retractors, ETCP was measured. Patients were randomized to a control (no adjustment) or treatment group (ETCP adjusted to 20 mm Hg). A blinded observer questioned the patients about the presence of sore throat, dysphagia, and hoarseness at 1 hour, 24 hours, and 1 week postoperatively. No differences between groups at 1 hour postoperatively were demonstrated. At 24 hours, 51% of patients in the treatment group complained of sore throat compared with 74% of control patients (p < 0.05). Sixty-five percent of the women experienced sore throat compared with 35% of the men (p < 0.05). At 24 hours, longer retraction time correlated with development of dysphagia (p < 0.05, r2 = 0.61). At 24 hours, hoarseness was present in 65% of women and 20% of men (p < 0.05). Conclusions. The results of this study suggest the following three predictors of postoperative throat discomfort following anterior cervical spine surgery in which neck retraction is performed: increased ETCP during neck retraction (sore throat), neck retraction time (dysphagia), and female sex (sore throat and hoarseness). The simple maneuver of decreasing ETCP to 20 mm Hg may be helpful in improving patient comfort following anterior cervical spine surgery.

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2

Mahto, Ravi Kumar, Dashrath Kafle, Diwash Rai, Rabina Sakha, and Nikita Rajbhandari. "Chin-throat morphology of Nepalese adults with normal occlusion and aesthetic facial profile – a cephalometric study." Orthodontic Journal of Nepal 12, no. 2 (December 31, 2022): 9–14. http://dx.doi.org/10.3126/ojn.v12i2.51048.

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Objective(s): The present study was undertaken to obtain normative value for chin-throat morphology in Nepalese adult male and female adult subjects with normal occlusion and aesthetic facial profile and study variation of chinthroat morphology between the two sexes. Materials and Method: In this cross-sectional study, lateral cephalograms of adult subjects with normal occlusion and pleasing facial profiles were selected from the archives of the Department of Orthodontics, Dhulikhel Hospital, Kathmandu University School of Medical Sciences, Nepal. Manual tracing and measurement of 3 parameters evaluating chin-throat morphology i.e. lip-chin-throat angle, chin-throat length and chin-throat-neck angle were done. Descriptive analysis was carried out and Student’s t-test was used to find the difference in measurements between the male and female subjects. Result: The mean values of lip-chin-throat angle, chin-throat length and chin-throat-neck angle were 105.56 ± 8.69 degrees, 40.48 ± 5.95 mm and 121.69 ± 13.86 degrees respectively. The mean value of the lip-chin-throat angle was 106.09 ± 8.60 degrees in male subjects and 105.12 ± 8.92 degrees in female subjects. Similarly, the mean value of chin-throat length was 40.08 ± 5.39 mm for males and 40.80 ± 6.47 mm for females. Also, the mean value of the chinthroat-neck angle was found to be 121.14 ± 16.99 degrees for males and 122.16 ± 10.92 degrees for females. Conclusion: Normative values for chin-throat morphology of Nepalese adults were established. In addition to it, sexual dimorphism was observed for chin-throat morphology while comparing the mean values for male and female subjects. However, the differences were statistically insignificant.

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3

Dahlöf, CGH, L. Falk, M. Risenfors, and CP Lewis. "Safety Trial with the 5Ht1B/1D Agonist Avitriptan (BMS-180048) in Patients with Migraine who have Experienced Pressure, Tightness, and/or pain in the Chest, Neck, and/or throat following Sumatriptan." Cephalalgia 18, no. 8 (October 1998): 546–51. http://dx.doi.org/10.1046/j.1468-2982.1998.1808546.x.

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We investigate whether symptoms of pressure, tightness, and/or pain in the chest, neck, and/or throat after administration of the 5HT1B/1D agonist avitriptan were associated with objective impairment of the myocardial function on 12-lead electrocardiogram (ECG), continuous ECG (Holter) monitoring, and echocardiography. Migraine sufferers who in two-thirds of all attacks treated with sumatriptan had experienced chest/throat/neck symptoms were chosen for study. Baseline measures included vital signs, a 12-lead ECG and an echocardiogram. Patients ( n=51) who had no clinically significant abnormality at baseline received a high dose (150 mg) of avitriptan orally outside of a migraine attack. If pressure, tightness, and/or pain in the chest, neck, and/or throat occurred, an ECG was obtained, and a repeat echocardiogram was done while the symptoms were present in order to monitor for impairment of myocardial function. If symptoms of these types did not occur within 60 min after administration of the study drug, a second echocardiogram was obtained. Forty-five patients (88%) reported at least one adverse event and 23 (45%) experienced pressure, tightness, and/or pain in the chest, neck, and/or throat after administration of avitriptan. No clinically significant myocardial abnormalities were observed in any patient, even in those who had experienced the targeted symptoms. No other serious adverse event occurred. We concluded that the typical 5HT1B/1D agonist-induced chest/throat/neck symptoms are most unlikely to be of cardiovascular origin.

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4

Wiler, Jennifer L. "Symptoms: Jaw and Neck Swelling, Sore Throat." Emergency Medicine News 31, no. 12 (December 2009): 6. http://dx.doi.org/10.1097/01.eem.0000365494.80041.47.

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5

Andrews, Laura, and Sanjay Arora. "Male With Throat Pain and Neck Swelling." Annals of Emergency Medicine 65, no. 4 (April 2015): e5-e6. http://dx.doi.org/10.1016/j.annemergmed.2014.11.010.

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6

Mgbe, Robert Bassey, Abiola Grace Adekanye, Paul Mambi Francis, and Mbora Effanga Offiong. "Eagle’s syndrome in tertiary health institution, southern region of Nigeria." Calabar Journal of Health Sciences 6 (November 26, 2022): 117–19. http://dx.doi.org/10.25259/cjhs_44_2021.

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Eagle’s syndrome is a condition caused by elongation of the styloid process or ossification of the styloid ligament resulting in non-specific symptoms related to pressure on vital blood vessels of the neck, the internal carotid artery, internal jugular vein, and nerves; the glossopharyngeal and vagus nerves. Eagle’s syndrome may have varied presentations with numerous symptoms: Pain in the throat/neck radiating to the ear and pharynx, foreign body sensation in the throat, dysphagia, otalgia, trismus, and intense facial pain. A high index of suspicion with a prompt resort to a three-dimensional CT skull could be helpful to give a quick diagnosis of Eagle’s syndrome amid numerous differential diagnoses. We present a 59-year-old male with an 18-month history of left-sided neck pain, cheek pain, and the feeling of a foreign body in the throat. He had pain relievers and other drugs to no avail. A three-dimensional CT scan of his skull revealed features of Eagle’s syndrome. The excision of the styloid process through the extraoral route relieves his symptoms. The second patient is a 42-year-old female with symptoms of peptic ulcer disease, dysphagia, pain in the throat, and sometimes fainting attacks when she moves her neck swiftly to the left side. A three-dimensional CT skull scan confirmed features of an elongated styloid process bilaterally suggestive of Eagle’s syndrome. Treatment offered to her was conservative, with a diclofenac suppository only because she refused surgery. Restricted and limited neck movement relieved her of syncope attacks.

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7

Surova, V., P. Slavik, V. Calkovsky, and A. Hajtman. "Brachial Plexopathy as an Unusual First Sign of a Head and Neck Cancer: Case Report." Acta Medica Martiniana 20, no. 1 (April 1, 2020): 39–44. http://dx.doi.org/10.2478/acm-2020-0005.

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AbstractMalignancies in the ENT (Ear, Nose, and Throat) area are mostly manifested by dysphagia, dysphonia, dyspnea, throat swelling, and other “traditional” head and neck symptoms. Sporadically, a primary tumor or metastasis can reach such a size and it can be localized in such an area in which it can cause the pathology of the brachial plexus. If this appears first, differential diagnosis may be more difficult.In this article the authors review current literature knowledge and present the case of this unusual sign of a head and neck cancer at the Clinic of Otorhinolaryngology and Head and Neck Surgery, Jessenius Faculty of Medicine, Comenius University, and Martin University Hospital, Martin, Slovakia.

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8

Thaj, Jabin, and Francis Vaz. "Regonising Ear, Nose and Throat Conditions in the Dentist's Chair." Primary Dental Journal 6, no. 3 (August 2017): 39–43. http://dx.doi.org/10.1308/205016817821931060.

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The dentist's chair presents an opportunity to pick up ear nose and throat lesions, by virtue of the close proximity of the anatomical areas. Urgent two-week wait referral can expedite assessment and management of head and neck malignancies, thereby improving the prognosis. In this paper, we attempt to highlight the ear, nose and throat (ENT) conditions that need a two week referral, as well as the benign head and neck lesions which can potentially be picked up in a dentist's chair.

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9

Swain, Rajanikanta, Shivani Dhaka, Munish Sharma, Mantaran Singh Bakshi, OP Murty, and Asit Kumar Sikary. "Accidental cut-throat injuries from the broken windshield of an auto rickshaw: Two unusual cases." Medicine, Science and the Law 58, no. 3 (April 22, 2018): 183–85. http://dx.doi.org/10.1177/0025802418768320.

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Accidental cut-throat injuries are extremely rare and usually involve a sharp-edged weapon. In this paper, two cases of a cut-throat wound to two auto-rickshaw drivers are presented where the broken windshield of the auto-rickshaws was responsible for the wounds. In both the cases, fatal incised wounds were present over the neck, cutting the soft tissue along with the major vessels. The death occurred due to exsanguination caused by neck-vessel injury in one case and trachea along with neck-vessel injury in the second case. Although the wounds on the neck initially suggested homicide, they were found to have occurred accidentally as a result of a road traffic accident involving a head-on collision of auto rickshaws. The injuries were inflicted by the shattered glass of the windshield.

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10

Kuratomi, Yuichiro, Yasuo Takeda, and Sohtaro Komiyama. "Abnormal Throat Sensations with Head and Neck Carcinoma." Nihon Kikan Shokudoka Gakkai Kaiho 52, no. 2 (2001): 106–13. http://dx.doi.org/10.2468/jbes.52.106.

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11

Young, Brian J., and Russell W. Steele. "A Teenager With Sore Throat and Neck Pain." Clinical Pediatrics 49, no. 11 (August 19, 2010): 1088–89. http://dx.doi.org/10.1177/0009922810375981.

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12

Young, Brian J., and Russell W. Steele. "A Teenager With Sore Throat and Neck Pain." Clinical Pediatrics 50, no. 4 (August 19, 2010): 355–56. http://dx.doi.org/10.1177/0009922810378739.

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13

Bandopadhyay, Saumendra Nath, Dwaipayan Mukherjee, Diptanshu Mukherjee, Swagatam Banerjee, and Shubhra Kanti Sen. "Adult retropharyngeal abscess." Bengal Journal of Otolaryngology and Head Neck Surgery 23, no. 1 (April 4, 2015): 7–11. http://dx.doi.org/10.47210/bjohns.2015.v23i1.30.

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ABSTRACTIntroductionThe proportion of adults suffering from retropharyngeal abscess (RPA) has increased in comparison to children.Materials and methodsEight cases of adult retropharyngeal abscess were reviewed. The diagnostic criteria were radiological evidence of widening of pre-vertebral soft tissue shadow and presence of pus in the swelling.ResultsSore throat, fever, muffled speech, painful swallow and stiffness of the neck were common presenting symptoms. Lateral X-ray of the neck was diagnostic. Commonest organism isolated was Streptococcus pyogenes. Airway obstruction was the commonest complication.DiscussionMost of the patients had history of trauma prior to the development of RPA. CT scan has an important role in planning the management in addition to lateral X-ray of the neck. Transoral surgical drainage in association with antibiotics is the treatment of choice in abscesses confined to the retropharyngeal space.ConclusionTuberculosis is no longer the commonest cause of adult retropharyngeal abscess. Sore throat or dysphagia, disproportionate to clinical findings in the throat should arouse suspicion of RPA. Early intervention with antibiotics reduces the chances of the development of complications.

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14

Sari, Nofita. "EPIDEMIOLOGICAL INVESTIGATION DIPTHERIA CASES IN KEDIRI DISTRICT IN 2022." Jurnal Wiyata: Penelitian Sains dan Kesehatan 10, no. 1 (June 15, 2023): 82. http://dx.doi.org/10.56710/wiyata.v10i1.714.

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Background: Diphtheria is a type of infectious disease that can be prevented by immunization. The cause of diphtheria is the toxigenic strain of Corynebacterium diphtheriae. East Java is the province with the most diphtheria cases in Indonesia. The number of diphtheria cases in East Java increased in 2018 by 695 cases. In 2019 diphtheria cases decreased to 358 cases, in 2020 to 94 cases, and in 2021 by 45 cases. Objective: Knowing the number of diphtheria cases and their prevention. Method: descriptive qualitative research with a case study approach. The definition of a case is a person with symptoms of fever, sore throat, swelling in the neck, and pseudomembranes. Data collection was conducted in five villages, namely Keling Village, Kanigoro Village, Kras Village, Jemekan Village, and Bogem Village in the period from October to November 2022. Results: Clinical symptoms, 100% or all five patients experienced symptoms of fever and sore throat as initial symptoms. Four patients had a fever as the initial symptom, and one started with a sore throat. 40% of patients had symptoms of neck swelling and shortness of breath. The five patients were also found to have pseudomembranes. Conclusion: There were 5 diphtheria suspects found in Kediri District in 2022. The clinical symptoms experienced by the five patients were fever, sore throat, neck swelling, shortness of breath, and pseudomembranes.

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15

Sah, Mukesh Kumar, and Madhu Thakur. "An Attempted Homicidal Cut Throat Injury: A Case Study." Journal of Karnali Academy of Health Sciences 3, no. 2 (August 29, 2020): 147–51. http://dx.doi.org/10.3126/jkahs.v3i2.30728.

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Homicidal cut throat is an injury over the front of neck by sharp instruments with an intent of murder. The neck contains vital structures (nerves, blood vessels, airway and pharyngeal conduit) in a compact fashion that may be difficult to access for physical examination or surgical exploration in a limited time. That is why these cases create panic and pose great challenges in the management. Here is a case of an attempted homicidal cut throat injury that highlights some of the challenges encountered in the management along with discussion on the evolving knowledge of the optimal management practice.

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16

Salisu, A., A. A. Adeosun, N. H. Emma-Nzekwue, and S. B. Abubakar. "Novel management of cervical necrotising fasciitis in a developing country: case report." Journal of Laryngology & Otology 125, no. 1 (October 12, 2010): 93–95. http://dx.doi.org/10.1017/s0022215110001994.

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AbstractObjective:We report a rare case of cervical necrotising fasciitis arising from poorly managed acute tonsillitis.Case report:A 23-year-old woman presented with a two-week history of fever and an eight-day history of painful neck swelling. Nine days before presentation, she had received digital manipulation of her throat by a neighbour, which had worsened her throat pain. There was associated progressive generalised neck swelling, odynophagia, dysphagia and dyspnoea. An X-ray of the neck soft tissue showed multiple gas collections.Conclusion:Cervical necrotising fasciitis is rare and usually odontogenic in origin. It is associated with a high mortality rate. Our patient responded to aggressive daily bedside wound debridements and dressings, appropriate intravenous antibiotics and high-protein nutritional support. In this way, exploration under general anaesthesia was avoided, in a developing country with limited facilities.

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17

Casenave, Théo, Natacha Raynaud, Florent Geoffroy, and Jacques-Henri Torres. "Interest of pharyngeal packing in head and neck surgery: a meta-analysis." Journal of Oral Medicine and Oral Surgery 29, no. 2 (2023): 16. http://dx.doi.org/10.1051/mbcb/2023012.

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Introduction: There is controversy regarding the use of pharyngeal packing in oral and nasal surgery. The primary objective of this study was to examine the association between pharyngeal packing, throat pain, and postoperative nausea and vomiting (PONV) in head and neck surgery. Material and methods: A systematic review of clinical studies published from January 2000 to August 2020 concerning the use of pharyngeal packing in head and neck surgery was conducted in the Medline, ScienceDirect and Cochrane Library databases. Throat pain and PONV were collected in each article, and a meta-analysis was performed. Results: A total of 10 clinical trials involving 877 patients were included in the meta-analysis. Pharyngeal packing did not significantly decrease PONV score either during the immediate (OR = 0.90, 95% CI: 0.59 to 1.38, p = 0.52, I2 = 0%) or the delayed postoperative period (OR = 0.88, 95% CI: 0.54 to 1.43, p = 0.28, I2 = 21%), but significantly increased the immediate postoperative throat pain score (MD = 0.68, 95% CI: 0.21 to 1.16, p = 0.19, I2 = 35%). Conclusion: This study suggests that the use of a pharyngeal packing to improve the preoperative aftermath in head and neck surgery should not be recommended.

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18

Ballenger, John Jacob, and Richard I. Cole. "Diseases of the Nose, Throat, Ear, Head, and Neck." Plastic and Reconstructive Surgery 76, no. 6 (December 1985): 966. http://dx.doi.org/10.1097/00006534-198512000-00035.

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19

Starr, William E. "Diseases of the Head and Neck, Nose and Throat." Plastic and Reconstructive Surgery 104, no. 7 (December 1999): 2326–27. http://dx.doi.org/10.1097/00006534-199912000-00070.

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20

Dhillon, R. S., and C. A. East. "Ear, Nose and Throat and Head and Neck Surgery." BMJ 309, no. 6964 (November 12, 1994): 1311. http://dx.doi.org/10.1136/bmj.309.6964.1311a.

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21

Turedi, Suleyman, Suha Turkmen, and Metin Yadigaroglu. "An unusual cause of sore throat and neck swelling." Emergency Medicine Journal 32, no. 8 (July 20, 2015): 625. http://dx.doi.org/10.1136/emermed-2015-204645.

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22

Ballenger, John Jacob. "Diseases of the Nose, Throat, Ear, Head and Neck." Plastic and Reconstructive Surgery 89, no. 1 (January 1992): 152–53. http://dx.doi.org/10.1097/00006534-199201000-00036.

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23

Ballenger, John Jacob. "Diseases of the Nose, Throat, Ear, Head and Neck." Plastic and Reconstructive Surgery 89, no. 1 (January 1992): 152–53. http://dx.doi.org/10.1097/00006534-199289010-00036.

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24

Kenna, Margaret A. "Ear, nose and throat, and head and neck surgery." International Journal of Pediatric Otorhinolaryngology 31, no. 2-3 (March 1995): 290. http://dx.doi.org/10.1016/0165-5876(95)90015-2.

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25

Clark, William D. "Diseases of the Nose, Throat, Ear, Head and Neck." JAMA: The Journal of the American Medical Association 253, no. 24 (June 28, 1985): 3608. http://dx.doi.org/10.1001/jama.1985.03350480118037.

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26

Gregg, John Bailey. "Diseases of the Nose, Throat, Ear, Head, and Neck." JAMA: The Journal of the American Medical Association 266, no. 12 (September 25, 1991): 1705. http://dx.doi.org/10.1001/jama.1991.03470120107050.

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27

MYERS, E. N. "Diseases of the Nose, Throat, Ear, Head, and Neck." Archives of Otolaryngology - Head and Neck Surgery 111, no. 12 (December 1, 1985): 830. http://dx.doi.org/10.1001/archotol.1985.00800140074021.

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28

Sigal, Adam, and Nidhi Mahendru. "Young Woman With a Sore Throat and Neck Mass." Annals of Emergency Medicine 71, no. 6 (June 2018): 793–801. http://dx.doi.org/10.1016/j.annemergmed.2017.12.005.

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29

Perce, Klára, Kateřina Sobotková, Milan Urík, Michal Jurajda, Anna Vravcová, Jana Šťastná, and Denisa Pavlovská. "Deep neck infections in children – approach to diagnosis and treatment." Otorinolaryngologie a foniatrie 73, no. 2 (May 20, 2024): 81–90. http://dx.doi.org/10.48095/ccorl202481.

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Summary Introduction: In the treatment of deep throat infections, it is necessary to make a correct decision about surgical treatment. The aim was to observe trends and characteristics of patients requiring surgical treatment and to identify factors that predict the type of treatment. Materials and methods: This is a retrospective study including pediatric patients hospitalized in the Children‘s Hospital of The University Hospital Brno with deep throat infections between 2010–2019. Studied parameters: age, sex, duration of problems before hospitalization, presence of dysphagia, odynophagia, impaired neck mobility, bulging of the pharyngeal wall, ankylostomia, respiratory problems, dysphonia, drooling, cervical lymphadenitis, sore throat, length of hospitalization, conservative or surgical approach, and well-being day. Laboratory investigations included CRP, neutrophil granulocyte count, and microbiological findings. Imaging examinations monitored the presence of phlegm or abscess, side, position relative to the great vessels and oppression of the great vessels, and size of abscess. Results: This study presents the clinical characteristics of 78 deep throat infections. Observed trends: patients with abscesses were younger, had higher CRP, and were hospitalized longer. Larger abscess statistically resulted in surgical treatment. Patients with phlegm had a shorter time to achieve comprehensive improvement. The incidence of an abscess is not related to gender. Boys had statistically significantly higher CRP and neutrophil granulocyte counts. The most common microbiological finding was Streptococcus pyogenes. Conclusion: Patients with abscesses were younger, had longer hospital stays, and had higher CRP. Key words children – deep neck infection – abscess

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30

Gertner, Rachel, Esther Bar'el, Milo Fradis, and Ludwig Podoshin. "Unusual complication of an ingested foreign body." Journal of Laryngology & Otology 105, no. 2 (February 1991): 146–47. http://dx.doi.org/10.1017/s0022215100115208.

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AbstractMigration of a foreign body from the mouth and throat to the subcutaneous tissue of the neck is very rare. We present a case of a migrating foreign body (a piece of straw) from the floor of the mouth to the neck. To our knowledge, this is the second case reported in the English literature.

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31

Nayak, Puneeth S., Anil Kumar S. Harugop, Paramita Debnath, and Prashant H. Patil. "Eagle Syndrome- An Entity Often Misdiagnosed." Bengal Journal of Otolaryngology and Head Neck Surgery 28, no. 2 (August 31, 2020): 172–76. http://dx.doi.org/10.47210/bjohns.2020.v28i2.333.

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Introduction Throat pain is one of the most common complaints that an otolaryngologist encounters in daily practice, there can be numerous aetiologies to it. Eagle Syndrome is one such entity which is characterized by chronic throat pain due to elongation of the styloid process or mineralization of the stylohyoid ligament. The vague symptomatology of this condition often leads to delayed diagnosis and treatment. Case Reports We report 5 cases of Eagle Syndrome. All the patients presented to us with complaints of chronic throat radiating to neck which did not relieve on taking medications, for the same they have been consulting multiple specialities. The diagnosis of Eagle Syndrome was confirmed by palpation in tonsillar fossa and orthopantomogram revealed enlarged styloid process measuring more than 30mm. Upon confirmation, all the 5 patients underwent tonsillo-styloidectomy and on consequent follow ups, they were symptomatically improved. Discussion Eagle Syndrome is a diagnosis of exclusion and should raise high index of suspicion in patients with nonspecific throat and neck pain not responding to any conservative treatment. With an increasing incidence of side effects following injudicious treatment given in such cases, this condition requires attention, as it a rare entity and often misdiagnosed.

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32

Nadig, S. K., S. Uppal, G. W. Back, A. P. Coatesworth, and A. R. H. Grace. "Foreign body sensation in the throat due to displacement of the superior cornu of the thyroid cartilage: two cases and a literature review." Journal of Laryngology & Otology 120, no. 7 (May 9, 2006): 608–9. http://dx.doi.org/10.1017/s0022215106001125.

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The sensation of a foreign body in the throat when swallowing is a common and very discomforting symptom for those who experience it. Common causes are gastroesophageal reflux disease and possibly upper oesophageal dysmotility. This complaint may be dismissed as psychogenic when a cause for the problem is not readily apparent.We present two cases in which the patient had a foreign body sensation in the throat, associated with a dry swallow. The most helpful diagnostic procedure was careful examination of the hypopharynx and neck and flexible fibre-optic rhinolaryngoscopy. One case was treated with surgery of the neck and larynx to trim the medially projecting superior cornu of the thyroid cartilage. Surgery was successful in eliminating the symptoms.Although an uncommon finding, our experience is that symptoms due to a medially displaced thyroid cornu should be considered in the differential diagnosis as an important and surgically correctable cause of persistent foreign body sensation at the hyoid level in the neck.

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33

Fouda, Mohammed, and Aqeela Abuidrees. "Suicidal Cut-throat Fatalities: A Case Report from the Kingdom of Bahrain." Arab Journal of Forensic Sciences & Forensic Medicine 2, no. 2 (September 7, 2020): 190–96. http://dx.doi.org/10.26735/wgbv2621.

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Using a sharp tool by an individual to cause a severe cut-throat injury is considered an unusual method for suicide. Investigating such suicidal cases is challenging, as no witness is available only the crime scene findings, the autopsy finding and the history of the victim. In this case report, we demonstrate a rare suicidal case received by the directorate of forensic science evidence in the Kingdom of Bahrain. A 39-year-old male was found with a neck laceration in his house, a small knife was found near his body, autopsy showed a cut-throat injury almost completely encircling the neck. Multiple superficial wounds were found in the proximity and parallel to the large incised wound in the front and back of the neck suggesting that they were hesitation marks. A stab wound was found directly medial to the left nipple. The final report was based on death scene investigation, autopsy findings and forensic laboratory results concluding that the death was suicidal in nature.

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34

Kacker, Varun. "A CLINICAL STUDY OF THE PATIENTS WITH STYLOID NEURALGIA." UP STATE JOURNAL OF OTOLARYNGOLOGY AND HEAD AND NECK SURGERY 11, no. 1 (June 30, 2023): 1–6. http://dx.doi.org/10.36611//upjohns/volume11/issue1/1.

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INTRODUCTION Eagle syndrome is a rare disorder produced on by the styloid process lengthening or the stylohyoid ligament being calcified. Eagle syndrome patients frequently experience dysphagia, dysphonia, cough, voice changes, otalgia, sore throat, face pain, a feeling of a foreign body, headache, vertigo, and neck pain. When a patient experiences unilateral idiopathic pain, especially in adult women, and the pain is not relieved by analgesics, Eagle's syndrome should always be taken into account. For symptoms that are not identifiable, patients see multiple doctors with varied outcomes. MATERIAL & METHOD This study was performed as a retrospective study in Asian institute of medical sciences on 68 patients with elongated styloid process between January 2022 to October 2022 with symptoms of throat pain, otalgia, foreign body sensation in throat and neck pain.In these situations, a multidisciplinary approach and early radiological evaluation, particularly an x-ray of the styloid process, are necessary. CONCLUSION This study was conducted to establish a correct diagnosis, determine the underlying reason of the patient's ambiguous symptoms, and evaluate the effectiveness of gabapentin and carbamezapine. Keywords: Styloid Neuralgia, Styalgia, styloid process

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Alberti, P. W. "Diseases of the nose, throat, ear, and head and neck." International Journal of Pediatric Otorhinolaryngology 26, no. 3 (April 1993): 283. http://dx.doi.org/10.1016/0165-5876(93)90117-l.

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Swain, SantoshKumar. "Fatal cut-throat injury of the neck by kite string." Archives of Trauma Research 11, no. 3 (2022): 161. http://dx.doi.org/10.4103/atr.atr_10_22.

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Brimacombe, Joseph, Lindsey Holyoake, Christian Keller, Nick Brimacombe, Miriam Scully, John Barry, Paul Talbutt, James Sartain, and Paul McMahon. "Pharyngolaryngeal, Neck, and Jaw Discomfort after Anesthesia with the Face Mask and Laryngeal Mask Airway at High and Low Cuff Volumes in Males and Females." Anesthesiology 93, no. 1 (July 1, 2000): 26–31. http://dx.doi.org/10.1097/00000542-200007000-00009.

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Background There is controversy over (1) the relative incidence of sore throat between the face mask (FM) and laryngeal mask airway (LMA), (2) the efficacy of LMA intracuff pressure reduction as a mechanism for minimizing sore throat, and (3) the relative incidence of sore throat with the LMA between males and females. In a randomized double-blind study, the authors compared laryngopharyngeal, neck, and jaw discomfort with the FM and LMA at high and low cuff volumes in males and females. Methods Three hundred adult patients were randomly assigned to three equal-sized groups for airway management: (1) the FM, (2) the LMA with a fully inflated cuff (LMA-High), or (3) the LMA with a semi-inflated cuff (LMA-Low). Anesthesia was administered with propofol, nitrous oxide, oxygen, and isoflurane. In the FM group, a Guedel-type oropharyngeal airway and jaw thrust were used only if necessary. In the LMA groups, cuff inflation was achieved with either 15 or 30 ml for the size 4 (females) and 20 or 40 ml for the size 5 (males). The LMA was removed when the patient was awake. Patients were questioned 18-24 h postoperatively about surgical pain, sore throat, sore neck, sore jaw, dysphonia, and dysphagia, and about whether they were satisfied with their anesthetic. Results The incidence of sore throat was lower in the FM (8%) than the LMA-High (42%) and LMA-Low (20%) groups (both: P < or = 0.02). The incidence of sore neck was higher for the FM (14%) than the LMA-High group (6%; P = 0.05) but similar to the LMA-Low group (8%). The incidence of sore jaw was higher in the FM (11%) than the LMA-High (3%) and LMA-Low (3%) groups (both: P = 0. 02). There were no differences among groups for surgical pain or dysphonia. The incidence of dysphagia was lower in the FM (1%) than the LMA-High group (11%; P = 0.003), but similar to the LMA-Low group (1%). The incidence of sore throat and dysphagia was lower in the LMA-Low group than the LMA-High group for both males and females (all: P < or = 0.04). There were no differences in discomfort levels between males and females in any group. Two patients from the FM group and one from the LMA-High group were not satisfied with their anesthetic. These complaints were unrelated to postoperative morbidity. Conclusion The LMA causes more sore throat and dysphagia but less jaw pain than the FM. Sore throat and dysphagia are more common with the LMA if the initial cuff volume is high. There are no differences in discomfort levels between males and females. However, these discomforts do not influence patient satisfaction after LMA or FM anesthesia.

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Ankale, N. R., R. S. Mudhol, Rajesh Radhakrishna Havaldar, and Anju Singh. "An Interesting Case of a Butcher Who Attempted to Cut His Neck." Bengal Journal of Otolaryngology and Head Neck Surgery 26, no. 3 (December 7, 2018): 222–26. http://dx.doi.org/10.47210/bjohns.2018.v26i3.213.

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Introduction Cut throat injuries are well recognized in homicide but less recognized in suicides. The incidence of suicide is increasing worldwide owing to the more stressful strenuous lifestyle and other risk factors like substance abuse. Suicide by incising one’s own throat is associated with hesitation marks whereas homicidal wounds are not. Case Report We present an interesting case of a suicidal cut throat of the victim being a butcher who was on alcohol abstinence since 3 days with severe injuries of supraglottic larynx and cricopharynx, surprisingly without any evidence of hesitation marks. He underwent immediate neck exploration and suturing of the injured structures without the need of a tracheostomy. Discussion A multidisciplinary approach by Otolaryngologists, Psychiatrists, Intensivists, and Anaesthetists is required in the effective management of these victims. A thorough proper early assessment can totally avoid the need of tracheostomy which is recommended in practice, hence preventing complications arising out of this unnecessary but advocated procedure.

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Szwarc, Brian J., and Haskins K. Kashima. "Endoscopic Management of a Combined Laryngocele." Annals of Otology, Rhinology & Laryngology 106, no. 7 (July 1997): 556–59. http://dx.doi.org/10.1177/000348949710600704.

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A 70-year-old woman presented with hoarseness, foul sputum, and a soft neck mass. Clinical and radiographic examination disclosed findings consistent with a combined internal and external laryngopyocele. Antibiotics, throat irrigations, and warm packs applied to the neck resulted in full resolution of the neck mass and subtotal regression of the supraglottic swelling. Endoscopic vestibulectomy was performed with a carbon dioxide laser; neither residual neck mass nor a tract leading to the extralaryngeal neck swelling was detected. The immediate and long-term clinical course has been uneventful. This report is the first description of the definitive endoscopic management of a combined laryngocele. The pathogenesis of the laryngocele and the rationale and technique for endoscopic management are discussed.

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Samsir, Samsir, Nelly Khairani Daulay, Syaiful Zuhri Harahap, Wahyuni Fithratul Zalmi, Afni Nia Sari, Fitri Aini Nasution, and Ronal Watrianthos. "Implementation Learning Vector Quantization Using Neural Network for Classification of Ear, Nose and Throat Disease." Journal of Physics: Conference Series 2394, no. 1 (December 1, 2022): 012016. http://dx.doi.org/10.1088/1742-6596/2394/1/012016.

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Abstract This study aims to use data from 57 patients at Rantauprapat Hospital to train a Neural Network using a quantization learning vector method for the categorization of ear, nose, and throat disorders. The input factors were fever, tiredness, nausea, breathing pain, sore throat, hearing loss, allergies, chills and sweating, and thick and transparent mucus. The factors studied were ear canal infections, pharyngitis of the neck, throat, nose, and sinusitis. The findings revealed that ten neurons with an objective value of 0.01 in the learning rate range of 0.01 - 0.05 resulted in categorizing snoring, nose, and ear disorders, including the input layer. The MATLAB program is utilized in this approach, with an average accuracy of 67 per cent and a mean square error of 0.2.

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Omokanye, H. K., A. A. Aluko, and L. O. Abdur-Rahman. "“Lump In The Throat”: Approach To Patient, Differential Diagnosis And Management." Savannah Journal of Medical Research and Practice 10, no. 1 (March 14, 2023): 01–07. http://dx.doi.org/10.4314/sjmrp.v10i1.1.

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Feeling of lump in the throat is a common reason for referral of patients to the oto-rhinolaryngology and head and neck clinic. The impression of the referring physician notwithstanding, the onus is on the otorhinolaryngologist to objectively evaluate every patient and manage as appropriate. This review is a summary of scientific information search outcome from Medline bibliographic database, published scholarly references, abstracts and/or full texts of articles and textbooks. The focus is on clinical approach to the patient, differential diagnoses and management options, and the search terms were globus pharyngeus, lump in the throat, laryngopharyngeal reflux. In the present paper, we highlight a useful working guide for history taking, physical examination, investigation and management of a patient with complaint of lump in the throat.

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Kumar, Naveen. "Adult Retropharyngeal Abscess: A Retrospective Case Series." An International Journal of Otorhinolaryngology Clinics 7, no. 2 (2015): 100–103. http://dx.doi.org/10.5005/jp-journals-10003-1202.

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ABSTRACT Introduction Retropharyngeal abscess (RPA), is a deep tissue neck infection. It is a serious and occasionally life-threatening infection due to the anatomic location and the potential for obstruction of the upper airway. The retropharyngeal space is found posterior to the esophageal wall and anterior to the prevertebral fascia. Lymph nodes found in this space drain the nasopharynx, paranasal sinuses and middle ear. Often infections of these areas will lead to infection in the retropharyngeal space. Atrophy of these lymph nodes at or before puberty has been found as an explanation of the predominance of RPAs in young children. In fact, some believe that they atrophy after 4 years of age. Once almost exclusively a disease of children, is observed with increasing frequency in adults. Retropharyngeal abscess poses a diagnostic challenge for the ENT surgeon because of its infrequent occurrence and variable presentation. Materials and methods Ten cases of adult retropharyngeal abscess were reviewed. The diagnostic criteria were radiological evidence of widening of pre-vertebral soft tissue shadow and presence of pus in the swelling. Results Sore throat, fever, muffled speech, painful swallow and stiffness of the neck were common presenting symptoms. Lateral X-ray of the neck was diagnostic. Commonest organism isolated was Streptococcus pyogenes. Airway obstruction was the commonest complication. Discussion Most of the patients had history of trauma prior to the development of RPA. Computed tomography (CT) scan of neck and thorax has an important role in planning the management in addition to lateral X-ray of the neck. Transoral surgical drainage in association with antibiotics is the treatment of choice in abscesses confined to the retropharyngeal space. Conclusion Tuberculosis is no longer the commonest cause of adult retropharyngeal abscess. Sore throat or dysphagia, disproportionate to clinical findings in the throat should arouse suspicion of RPA. Early intervention with antibiotics reduces the chances of the development of complications. How to cite this article Kumar N. Adult Retropharyngeal Abscess: A Retrospective Case Series. Int J Otorhinolaryngol Clin 2015;7(2):100-103.

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Thorawade, Vandana P., S. A. Jaiswal, and Seema Ramlakhan Gupta. "Manifestations of Tuberculosis in Ear, Nose, Throat, Head and Neck Region – A Retrospective Study." Bengal Journal of Otolaryngology and Head Neck Surgery 28, no. 2 (August 31, 2020): 144–50. http://dx.doi.org/10.47210/bjohns.2020.v28i2.332.

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Introduction Tuberculosis can involve any organ or site. Otorhinolaryngologist may encounter tuberculosis affecting lymph nodes, ear, larynx, deep neck spaces, salivary glands etc. which can mimic other chronic granulomatous conditions or malignancy. To ensure early diagnosis, it is important to recognize its cardinal signs and symptoms and to be aware of potential pitfalls in diagnosis. This study was done to learn the clinical presentation of tuberculosis in ear, nose, throat and head and neck region, and to assess the effectiveness of various investigations and treatment done for the same. Materials and Methods A retrospective study done in our institution involving 120 patients suffering from tuberculosis in ear, nose, throat and head and neck region who attended pulmonary medicine or ENT OPD or ward between January 2008 to December 2017 that is, 10 years. Study period for data collection and analysis was 1 month. Results Total 120 patients-69 males and 51 females. Most common site was cervical lymph nodes(77.5% patients), followed by larynx(8.3%),middle ear(7.5%),deep neck spaces(2.5%) and salivary glands and nose(1.7% each). Histopathology was highly sensitive(99. 1%).All except one patient responded to first-line antitubercular drugs, the other patient was given treatment for MDR-TB to which he responded. Conclusion Tuberculosis can involve any site in the head and neck region, most common being cervical lymph nodes mainly presenting as neck swelling. Variable nature of manifestations of tuberculosis makes it essential to have high degree of suspicion for early diagnosis.

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Sahin, Abdulkadir, Korhan Kilic, Muhammed Sedat Sakat, Bulent Aktan, Hazal Altunok, and Fatma Kesmez Can. "A rare cause requiring consideration in the differential diagnosis of neck masses: tularemia." Journal of Infection in Developing Countries 17, no. 03 (March 31, 2023): 381–87. http://dx.doi.org/10.3855/jidc.16866.

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Introduction: Tularemia is a zoonotic disease caused by the Gram-negative coccobacillus Francisella tularensis. It is frequently overlooked in the differential diagnosis of neck masses because of its rarity. The purpose of this study is to report cases diagnosed with tularemia among patients presenting to our clinic with neck masses and to share our experience. Methodology: Patients presented to our hospital with cervical masses and diagnosed with tularemia were included in this retrospective study. Medical files of all patients were evaluated, and physical examination findings, titration values, date of diagnosis, location of the abscess or mass, place of residence, occupation, drinking water sources, sedimentation (SED), C-reactive protein (CRP), and white blood cell (WBC) values were recorded. Results: Seventy-six patients were included in the study. Forty patients (52.6%) were living in rural villages and 36 (47.4%) in urban areas. Thirty-one (40.8%) were engaged in animal husbandry and 29 (38.2%) in agriculture. In terms of drinking water sources, 59 patients (73.6%) obtained water from the mains, while 10 (13.32%) used well water. The most frequently observed clinical findings were swelling in the neck, sore throat, lethargy, and fever. Neck swelling frequently occurred in levels II and III. Conclusions: Since tularemia is rare and there are no specific clinical findings, diagnosis may be problematic. Ear, nose and throat (ENT) specialists should be familiar with the clinical symptoms of tularemia in the head and neck region and should consider a preliminary diagnosis of tularemia in the differential diagnosis of persistent neck masses.

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Annam, Chandra Shekhar, Soumyajit Das, Aishwari Iyer, and Satvinder Singh Bakshi. "Laryngeal schwannoma masquerading as malignancy." BMJ Case Reports 17, no. 7 (July 2024): e260258. http://dx.doi.org/10.1136/bcr-2024-260258.

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Laryngeal schwannoma is a rare type of neurogenous tumour with a non-specific presentation. We present a case of a middle-aged man with issues of hoarseness, globus sensation and intermittent episodes of throat pain. The Hopkins examination showed right vocal fold irregularity with fullness in the right ventricle. The contrast-enhanced CT neck revealed an ill-defined lesion with contrast uptake extending into the paraglottic region with no neck node involvement. Considering the clinical presentation of hoarseness, throat pain and globus with imaging revealing contrast enhancement of lesion, direct laryngoscopy and biopsy were planned to rule out malignancy. Intraoperatively, a well-defined submucosal capsulated swelling became apparent after incision and dissection of the mucosa over the right vocal fold. A complete excision of the swelling was done with microlaryngeal instruments without tracheostomy. The histopathological report was suggestive of schwannoma. The literature review discusses clinical presentation, location, imaging features and management strategy.

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Lucente, Frank E. "Book Review: Diseases of the Nose, Throat, Ear, Head and Neck." Annals of Otology, Rhinology & Laryngology 95, no. 4 (July 1986): 436. http://dx.doi.org/10.1177/000348948609500423.

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SLAUGHTER, MICHAEL R. "A neck mass in a patient with fever and sore throat." Journal of the American Academy of Physician Assistants 25, no. 3 (March 2012): 58. http://dx.doi.org/10.1097/01720610-201203000-00013.

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Nechtman, Carl M., and Dennis G. Pappas. "Book Review: Diseases of the Nose, Throat, Ear, Head and Neck." Annals of Otology, Rhinology & Laryngology 101, no. 7 (July 1992): 628. http://dx.doi.org/10.1177/000348949210100719.

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Ballenger, John Jacob, and David Arnstein. "Diseases of the Nose, Throat, Ear, Head and Neck, 14th Edition." Annals of Plastic Surgery 29, no. 1 (July 1992): 95. http://dx.doi.org/10.1097/00000637-199207000-00024.

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Marks, Nicholas. "Ear, Nose and Throat and Head and Neck Surgery (3rd edn)." Annals of The Royal College of Surgeons of England 89, no. 7 (October 2007): 741. http://dx.doi.org/10.1308/rcsann.2007.89.7.741a.

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