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Ungewöhnliche Lage einer retropharyngeal eingespiessten Fischgräte

Landis, B N
Published in Laryngo-Rhino-Otologie. 2004, vol. 83, no. 12, p. 852-5
Abstract The case of a 34-year-old otherwise healthy woman with retropharyngeal abscess due to a fishbone injury and presenting with neck stiffness and aphagia without visualization of a pharyngeal mucosal lesion is reported. The case illustrates that sore throat with symptoms out of proportion to oropharyngeal findings should prompt a search for pathologies other than simple pharyngotonsillitis. Other typical symptoms of a retropharyngeal abscess are high fever, dysphagia, hot potato voice and, less commonly, dyspnea and sepsis. Retropharyngeal abscess in adults occurs most often as a complication of a spread of infection from a pharyngeal focus, a foreign body injury, an iatrogenic trauma due to tracheal intubation or endoscopy, and blunt or perforating neck trauma. Contrary to children, a retropharyngeal abscess in adults without loco-regional infection or preceding trauma is very rare. This case illustrates how important imaging investigations (CT-scan) are in order to locate foreign bodies and to decide on surgical management. Aetiology, presenting signs, symptoms, methods of diagnosis, treatment and complications of a retropharyngeal abscess are briefly discussed.
Keywords AdultAnimalsFemaleFishesForeign Bodies/radiography/therapyHumansImage Processing, Computer-AssistedLaryngoscopyPharynx/radiographyRadiographic MagnificationRetropharyngeal Abscess/radiography/therapyTomography, X-Ray Computed
PMID: 15611906
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Research group Groupe Dulguerov Pavel (ORL et chirurgie cervico-faciale) (145)
(ISO format)
GIGER, Roland, LANDIS, B N, DULGUEROV, Pavel. Ungewöhnliche Lage einer retropharyngeal eingespiessten Fischgräte. In: Laryngo-Rhino-Otologie, 2004, vol. 83, n° 12, p. 852-5. doi: 10.1055/s-2004-825679 https://archive-ouverte.unige.ch/unige:33103

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Deposited on : 2014-01-10

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