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Pharynx: Benign and Malignant Conditions

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Abdominal Imaging
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Abstract

A large variety of peripheral neuropathies, myopathies, and central nervous system abnormalities cause dysphagia (Bucholz 1987). Dysphagia can result from any abnormality involving the peripheral or cranial sensory or motor nerves, the swallowing center in the brainstem, or the supratentorial regions of the brain controlling tongue function, cognitive function involved in swallowing or muscular movement of the bolus to the lips. In our practice, the most common neurogenic causes of dysphagia are acute cerebrovascular accidents, small vessel ischemic disease, Parkinson’s disease, multiple sclerosis, myasthenia gravis, muscular dystrophy, and dermatomyositis. Patients who have undergone cranial, neck, and thoracic operations may have direct intracranial, central cranial nerve or recurrent laryngeal nerve damage. Some postoperative patients have postoperative cerebrovascular damage. Any patient with a tracheostomy tube may have dysphagia due to impaired elevation of the pharynx/larynx with poor timing between the oral and pharyngeal phase and/or diminished epiglottic tilt.

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References

  • Agha FP, Francis IR, Ellis CN. Esophageal involvement in epidermolysis bullosa dystrophica: clinical and roentgenographic manifestations. Gastrointest Radiol. 1983;8:111–7.

    Article  PubMed  CAS  Google Scholar 

  • Apter AJ, Levine MS, Glick SN. Carcinomas of the base of the tongue: diagnosis using double-contrast radiography of the pharynx. Radiology. 1984;151:123–6.

    PubMed  CAS  Google Scholar 

  • Bachman AL, Seaman WB, Macken KL. Lateral pharyngeal diverticula. Radiology. 1968;91:774–82.

    PubMed  CAS  Google Scholar 

  • Bachman AL. Benign, non-neoplastic conditions of the larynx and pharynx. Radiol Clin North Am. 1978;16:273–90.

    PubMed  CAS  Google Scholar 

  • Balfe DM, Koehler RE, Setzen M, et al. Barium examination of the esophagus after total laryngectomy. Radiology. 1982;143:501–8.

    PubMed  CAS  Google Scholar 

  • Balfe DM, Heiken JP. Contrast evaluation of structural lesions of the pharynx. Curr Probl Diagn Radiol. 1986;15:73–160.

    Article  PubMed  CAS  Google Scholar 

  • Bosma JF, Gravkowski EA, Tryostad CW. Chronic ulcerative pharyngitis. Arch Otolaryngol. 1968;87:85–96.

    Article  PubMed  CAS  Google Scholar 

  • Brady AP, Stevenson GW, Somers S, et al. Premature contraction of the cricopharyngeus: new sign of gastroesophageal reflux disease. Abdom Imaging. 1995;20:225–9.

    Article  PubMed  CAS  Google Scholar 

  • Bucholz D. Neurologic causes of dysphagia. Dysphagia. 1987;1:152–6.

    Article  Google Scholar 

  • Chang-Lo M. Laryngeal involvement in Von Recklinghausen’s disease. Laryngoscope. 1977;87:435–42.

    Article  PubMed  CAS  Google Scholar 

  • Clements JL, Cox GW, Torres WE, et al. Cervical esophageal webs—a roentgen-anatomic correlation. AJR. 1974;121:221–31.

    Article  Google Scholar 

  • Curtis DJ, Cruess DF, Crain M, et al. Lateral pharyngeal outpouchings: a comparison of dysphagic and asymptomatic patients. Dysphagia. 1988;2:156–61.

    Article  PubMed  CAS  Google Scholar 

  • Delahunty JE, Margulies SE, Alonso UA, et al. The relationship of reflux esophagitis to pharyngeal pouch (Zenker’s diverticulum). Laryngoscope. 1971;81:570–7.

    Article  PubMed  CAS  Google Scholar 

  • DiSantis DJ, Balfe DM, Koehler RE, et al. Barium examination of the pharynx after vertical hemilaryngectomy. AJR. 1983;141:335–9.

    Article  PubMed  CAS  Google Scholar 

  • Ekberg O. Cervical oesophageal webs in patients with dysphagia. Clin Radiol. 1981;32:633–41.

    Article  PubMed  CAS  Google Scholar 

  • Ekberg O, Nylander G. Lateral diverticula from the pharyngoesophageal junction area. Radiology. 1983a;146:117–22.

    PubMed  CAS  Google Scholar 

  • Ekberg O, Nylander G. Pharyngeal dysfunction after treatment for pharyngeal cancer with surgery and radiotherapy. Gastrointest Radiol. 1983b;8:97–104.

    Article  PubMed  CAS  Google Scholar 

  • Emery CD, Wall S, Federle MP, et al. Pharyngeal Kaposi’s sarcoma in patients with AIDS. AJR. 1986;147:919–22.

    Article  PubMed  CAS  Google Scholar 

  • Frieling T, Berges W, Lubke HJ, et al. Upper esophageal sphincter function in patients with Zenker’s diverticulum. Dysphagia. 1988;3:90–2.

    Article  PubMed  CAS  Google Scholar 

  • Goldstein HM, Rogers LF, Fletcher GH, Dodd GD. Radiological manifestations of radiation-induced injury to the normal upper gastrointestinal tract. Radiology. 1975;117:135–40.

    PubMed  CAS  Google Scholar 

  • Goldstein HM, Zornoza J. Association of squamous cell carcinoma of the head and neck with cancer of the esophagus. AJR. 1978;131:791–4.

    Article  PubMed  CAS  Google Scholar 

  • Gordon AR, Levine MS, Redfern RO, Rubesin SE, Laufer I. Cervical esophageal webs: association with gastroesophageal reflux. Abdom Imaging. 2001;26:574–7.

    Article  PubMed  CAS  Google Scholar 

  • Gromet M, Homer MJ, Carter BL. Lymphoid hyperplasia at the base of the tongue. Radiology. 1982;144:825–8.

    PubMed  CAS  Google Scholar 

  • Hadley JM, Ridley N, Djazaeri B, Glover G. The radiological appearances after endoscopic cricopharyngeal myotomy: Dohlman’s procedure. Clin Radiol. 1997;52:613–5.

    Article  PubMed  CAS  Google Scholar 

  • Hyams VJ, Rabuzzi DD. Cartilaginous tumors of the larynx. Laryngoscope. 1970;80:755–67.

    Article  PubMed  CAS  Google Scholar 

  • Hyams VJ, Batsakis JG, Michaels L. Tumors of the upper respiratory tract and ear. In: Atlas of tumor pathology, Fascicle 25, vol. 2. Bethesda: Armed Forces Institute of Pathology; 1988.

    Google Scholar 

  • Knuff TE, Benjamin SB, Castell DO. Pharyngoesophageal (Zenker’s) diverticulum: a reappraisal. Gastroenterology. 1982;82:734–6.

    PubMed  CAS  Google Scholar 

  • Lakhani P, Rubesin SE, Zhang PJ. Malignant fibrous histiocytoma of the pharynx. AJR. 2005;184:S12–3.

    Article  PubMed  Google Scholar 

  • Lindbichler F, Raith J, Uggowitzer M, et al. Aspiration resulting from lateral hypopharyngeal pouches. AJR. 1998;170:129–32.

    Article  PubMed  CAS  Google Scholar 

  • Mansson T, Wilske J, Kindblom L-G. Lipoma of the hypopharynx: a case report and a review of the literature. J Laryngol Otol. 1978;92:1037–43.

    Article  PubMed  CAS  Google Scholar 

  • Maran AGD, Buchanan DR. Branchial cysts, sinuses and fistulae. Clin Otolaryngol. 1978;3:77–92.

    Article  PubMed  CAS  Google Scholar 

  • Moses BL, Eisele DW, Jones B. Radiologic assessment of the early postoperative total-laryngectomy patient. Laryngoscope. 1993;103:1157–60.

    Article  PubMed  CAS  Google Scholar 

  • Muller-Miny H, Eisele DW, Jones B. Dynamic radiographic imaging following total laryngectomy. Head Neck. 1993;15:342–7.

    Article  PubMed  CAS  Google Scholar 

  • Nanson EM. Carcinoma in a long-standing pharyngeal diverticulum. Br J Surg. 1976;63:417–9.

    Article  PubMed  CAS  Google Scholar 

  • Nosher JL, Campbell WL, Seaman WB. The clinical significance of cervical esophageal and hypopharyngeal webs. Radiology. 1975;117:45–7.

    PubMed  CAS  Google Scholar 

  • Quillen SP, Balfe DM, Glick SN. Pharyngography after head and neck irradiation: differentiation of postirradiation edema from recurrent tumor. AJR. 1993;161:1205–8.

    Article  Google Scholar 

  • Rubesin SE, Jessurun J, Robertson D, et al. Lines of the pharynx. Radiographics. 1987;7:217–37.

    PubMed  CAS  Google Scholar 

  • Rubesin SE, Glick SN. The tailored double-contrast pharyngogram. Crit Rev Diagn Imaging. 1988;28:133–79.

    PubMed  CAS  Google Scholar 

  • Rubesin SE, Laufer I. Pictorial review: principles of double contrast pharyngography. Dysphagia. 1991;6:170–8.

    Article  PubMed  CAS  Google Scholar 

  • Rubesin SE. Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR. 2001;177:85–9.

    Article  PubMed  CAS  Google Scholar 

  • Rubesin SE, Eisele DW, Jones B. Pharyngography in the postoperative patient. In: Jones B, editor. Normal and abnormal swallowing. 2nd ed. New York: Springer; 2003. p. 167–203.

    Chapter  Google Scholar 

  • Shauffer IA, Phillips HE, Sequeira J. The jet phenomenon: a manifestation of esophageal web. AJR. 1977;129:747–8.

    Article  PubMed  CAS  Google Scholar 

  • Scott JC, Jones B, Eisele DW, Ravich WJ. Caustic ingestion injuries of the upper aerodigestive tract. Laryngoscope. 1992;102:1–8.

    PubMed  CAS  Google Scholar 

  • Seaman WB. Contrast radiography in neoplastic disease of the larynx and pharynx. Semin Roentgenol. 1974;9:301–9.

    Article  PubMed  CAS  Google Scholar 

  • Shirazi KK, Daffner RH, Gaede JT. Ulcer occurring in Zenker’s diverticulum. Gastrointest Radiol. 1977;2:117–8.

    Article  PubMed  CAS  Google Scholar 

  • Smiley TB, Caves PK, Porter DC. Relationship between posterior pharyngeal pouch and hiatus hernia. Thorax. 1970;25:725–31.

    Article  PubMed  CAS  Google Scholar 

  • Sydow BD, Levine MS, Rubesin SE, Laufer I. Radiographic findings and complications after surgical or endoscopic repair of Zenker’s diverticulum in 16 patients. AJR. 2001;177:1067–71.

    Article  PubMed  CAS  Google Scholar 

  • Woodfield C, Levine MS, Rubesin SE, Laufer I, Mirza N. Pharyngeal retention cysts: radiographic findings in seven patients. AJR. 2005;184:793–6.

    Article  PubMed  Google Scholar 

  • Zaino C, Jacobson HG, Lepow H, et al. The pharyngoesophageal sphincter. Radiology. 1967;89:639–45.

    PubMed  CAS  Google Scholar 

  • Zaino C, Jacobson HG, Lepow H, et al. The pharyngoesophageal sphincter. Springfield: Charles C Thomas; 1970.

    Google Scholar 

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Correspondence to Stephen E. Rubesin M.D. .

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Rubesin, S.E. (2013). Pharynx: Benign and Malignant Conditions. In: Hamm, B., Ros, P.R. (eds) Abdominal Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-13327-5_3

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  • DOI: https://doi.org/10.1007/978-3-642-13327-5_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-13326-8

  • Online ISBN: 978-3-642-13327-5

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