PURPOSE  Although papillary thyroid carcinoma metastases to the parapharyngeal space are rare, the high amount of fat tissue allows tumors to grow clinically undetectable until they invade most of the parapharyngeal space. We describe for the first time a combined endonasal and transcervical approach for a parapharyngeal metastasis from a papillary thyroid carcinoma. MATERIALS AND METHODS  A ...

Fig, 1,-25-year-old man with parapharyngeal angiofibroma. A, Unenhanced axial CT scan shows a mass (arrows) in parapharyngeal space, with anterior displacement and splaying of pterygoid plates. B, Enhanced coronal CT scan shows an enhancing left-sided parapharyngeal mass (arrows) displacing pharynx toward right. C, Angiogram of left common carotid artery shows a hypervascular mass (arrows) supp...

Carotid endarterectomy is the most commonly performed vascular surgical procedure. One of the complications of carotid endarterectomy is Pseudoaneurysm of the carotid artery frequently managed by endo-vascular technique. Pseudoaneurysm caused by other aetiological factors is rare entity. Penetrating trauma and neck surgery are known but very rare causes of pseudo aneurysm of the carotid artery....

The authors present the case of an 11-year-old boy with pharyngitis, treated with amoxicillin, that worsened on day 7, with cough, high fever and refusal to eat. Lethargy and respiratory distress were noted. Based on radiographic findings of bilateral infiltrates he was diagnosed with pneumonia and started on intravenous ampicillin and erythromycin. Two days later he complained of right-sided n...

Melioidosis is a potentially deadly infection that can affect any organ system. Reports of melioidosis of the ENT/head and neck region are relatively uncommon. Four cases are presented: (i) parotid abscess evolving into necrotising fasciitis, (ii) acute sinusitis and parapharyngeal cellulitis resulting in upper airway obstruction, (iii) acute suppurative lymphadenitis (iv) and chronic suppurati...

INTRODUCTION Adult supraglottitis is a serious and potentially life-threatening condition, characterised by inflammation of the supraglottic structures of the larynx, namely the arytenoids, the false vocal cords, the laryngeal ventricles, the aryepiglottic folds and the epiglottis. This condition presents a diagnostic challenge owing to the nonspecific nature of the clinical presentation. Patie...

Dear Sirs, We read with interest the article entitled ‘Tularaemia presenting as a parapharyngeal abscess: case presentation’ by Koç et al. in The Journal of Laryngology & Otology May 2012 issue. This article is of value not only to ENT specialists but also to clinicians in a range of other specialties, including infectious disease and general practice. Although tularaemia was identified almost ...

PURPOSE To subclassify parapharyngeal extension in nasopharyngeal carcinoma (NPC) and investigate its prognostic value and staging categories based on magnetic resonance imaging (MRI). METHODS AND MATERIALS Data from 1504 consecutive NPC patients treated with definitive-intent radiotherapy were analyzed retrospectively. Sites of parapharyngeal extension were defined by MRI. Overall survival (...