Dysphagia pp 253-279 | Cite as

Pharyngeal Morphology

  • Stephen E. Rubesin
Part of the Medical Radiology book series (MEDRAD)


This chapter discusses the radiographic findings of structural abnormalities of the pharynx.


Granular Cell Tumor Cervical Esophagus Cricoid Cartilage Palatine Tonsil Arytenoid Cartilage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Al-Saleem T, Harwick R, Robbins R et al (1970) Malignant lymphomas of the pharynx. Cancer 26:1769–1778CrossRefGoogle Scholar
  2. Apter AJ, Levine MS, Glick SN (1984) Carcinomas of the base of the tongue: diagnosis using double-contrast radiography of the pharynx. Radiology 151:123–126PubMedGoogle Scholar
  3. Bachman AL (1978) Benign non-neoplastic conditions of the larynx and pharynx. Radiol Clin North Am 16:273–290PubMedGoogle Scholar
  4. Bachman AL, Seaman WB, Macken KL (1968) Lateral pharyngeal diverticula. Radiology 91:774–782PubMedGoogle Scholar
  5. Balfe DM, Heiken JP (1986) Contrast evaluation of structural lesions of the pharynx. Curr Probl Diagn Radiol 15:73–160PubMedCrossRefGoogle Scholar
  6. Banfi A, Bonadonna G, Carnevali G et al (1970) Lymphoreticular sarcomas with primary involvement of Waldeyer’s ring. Cancer 26:341–351PubMedCrossRefGoogle Scholar
  7. Bosma JF, Gravkowski EA, Tyrostad CW (1968) Chronic ulcerative pharyngitis. Arch Otolaryngol 87:85–96PubMedCrossRefGoogle Scholar
  8. Brady AP, Stevenson GW, Somers S (1995) Premature contraction of the cricopharyngeus: new sign of gastroesophageal reflux disease. Abdom Imaging 20:225–229PubMedCrossRefGoogle Scholar
  9. Carpenter RJ III, DeSanto LW, Devine KD et al (1976) Cancer of the hypopharynx. Arch Otolaryngol 102:716–721PubMedCrossRefGoogle Scholar
  10. Chang-Lo M (1977) Laryngeal involvement in Von Recklinghausen’s disease. Laryngoscope 87:435–442PubMedCrossRefGoogle Scholar
  11. Clements JL, Cox GW, Torres WE et al (1974) Cervical esophageal webs–a roentgen-anatomic correlation. Am J Roentgenol 121:221–231Google Scholar
  12. Conley J, Dingman DL (1974) Adenoid cystic carcinoma in the head and neck (cylindroma). Arch Otolaryngol 100:81–90PubMedCrossRefGoogle Scholar
  13. Cunningham MP, Catlin D (1967) Cancer of the pharyngeal wall. Cancer 20:1859–1866PubMedCrossRefGoogle Scholar
  14. Curtis DJ, Cruess DF, Crain M et al (1988) Lateral pharyngeal outpouchings: a comparison of dysphagic and asymptomatic patients. Dysphagia 2:156–161PubMedCrossRefGoogle Scholar
  15. Delahunty JE, Margulies SE, Alonso UA et al (1971) The relationship of reflux esophageal to pharyngeal pouch (Zenker’s diverticulum). Laryngoscope 81:570–577PubMedCrossRefGoogle Scholar
  16. DuBrul EL (1980) Sicher’s oral anatomy, 7th edn. Mosby, St. Louis, pp 319–350Google Scholar
  17. Ekberg O (1981) Cervical esophageal webs in patients with dysphagia. Clin Radiol 32:633–641PubMedCrossRefGoogle Scholar
  18. Ekberg O, Nylander G (1983a) Lateral diverticula from the pharyngoesophageal junction area. Radiology 146:117–122PubMedGoogle Scholar
  19. Ekberg O, Nylander G (1983b) Webs and web-like formations in the pharynx and cervical esophagus. Diagn Imaging 52:10–18PubMedGoogle Scholar
  20. Ekberg O, Birch-lensen M, Lindstrom C (1986) Mucosal folds in the valleculae. Dysphagia 1:68–72CrossRefGoogle Scholar
  21. Emery CD, Wall S, Federle MP et al (1986) Pharyngeal Kaposi’s sarcoma in patients with AIDS. Am J Roentgenol 147:919–922Google Scholar
  22. Frazell EL, Lucas JC (1962) Cancer of the tongue: report of the management of 1554 patients. Cancer 15:1085–1099PubMedCrossRefGoogle Scholar
  23. Frieling T, Berges W, Lubke HJ et al (1988) Upper esophageal sphincter function in patients with Zenker’s diverticulum. Dysphagia 3:90–92PubMedCrossRefGoogle Scholar
  24. Gatti WM, Strom CG, Orfei E (1975) Synovial sarcoma of the laryngopharynx. Arch Otolaryngol 98:53–54Google Scholar
  25. Goldstein HM, Zornoza J (1978) Association of squamous cell carcinoma of the head and neck with cancer of the esophagus. Am J Roentgenol131:791–794Google Scholar
  26. Gromet M, Homer MJ, Carter BL (1982) Lymphoid hyperplasia at the base of the tongue. Radiology 144:825–828PubMedGoogle Scholar
  27. Harris RD, Berdon WE, Baker DH (1970) Roentgen diagnosis of acute epiglottis in the adult. J Can Assoc Radiol 21:270–272PubMedGoogle Scholar
  28. Huizenga C, Balogh K (1970) Cartilaginous tumors of the larynx. Cancer 26:201–210PubMedCrossRefGoogle Scholar
  29. Hyams VJ, Rabuzzi DD (1970) Cartilaginous tumors of the larynx. Laryngoscope 80:755–767PubMedCrossRefGoogle Scholar
  30. Hyams VJ, Batsakis JG, Michaels L (1988) Tumors of the upper respiratory tract and ear. In: Atlas of tumor pathology, second series, fascicle 25. Armed Forces Institute of Pathology, BethesdaGoogle Scholar
  31. Jimenez JR (1970) Roentgen examination of the oropharynx and oral cavity. Rad Clin North Am 8:413–424Google Scholar
  32. Jing BS (1970) Roentgen examination of the larynx and hypopharynx. Radiol Clin North Am 8:361–386PubMedGoogle Scholar
  33. Johnson JT, Bacon GW, Meyers EN, Wagner RL (1995) Medial versus lateral wall piriform sinus carcinomas: implications for management of regional lymphatics. Head Neck 16:401–405CrossRefGoogle Scholar
  34. Kabakian HA, Dahmash MS (1978) Pharyngoesophageal manifestations of epidermolysis bullosa. Clin Radiol 29:91–94PubMedCrossRefGoogle Scholar
  35. Killian G (1908) Ueber den Mund der Speiseröhre. Z Ohrenheilkd Wiesb 55:1–41Google Scholar
  36. Kirchner JA, Owen JR (1977) Five hundred cancers of the larynx and piriform sinuses: results of treatment by radiation and surgery. Laryngoscope 87:1288–1303PubMedCrossRefGoogle Scholar
  37. Knuff TE, Benjamin SB, Castell DO (1982) Pharyngoesophageal (Zenker’s) diverticulum: a reappraisal. Gastroenterology 82:734–736PubMedGoogle Scholar
  38. Krugman ME, Rosin HD, Toker C (1973) Synovial sarcoma of the laryngopharynx. Arch Otolaryngol 98:53–54PubMedCrossRefGoogle Scholar
  39. Levine MS, Rubesin SE (1990a) Update on esophageal radiology. Am J Roentgenol 155:933–994Google Scholar
  40. Levine MS, Rubesin SE (1990b) Radiologic investigation of dysphagia. Am J Roentgenol 154:1157–1163Google Scholar
  41. Lindbichler F, Raith J, Uggowitzer M, Hausegger K (1998) Aspiration resulting from lateral hypopharyngeal pouches. Am J Roentgenol 170:129–132Google Scholar
  42. Mannsson T, Wilske J, Kindblom L-G (1978) Lipoma of the hypopharynx: a case report and a review of the literature. J Laryngol Otol 92:1037–1043CrossRefGoogle Scholar
  43. Maran AGD, Buchanan DR (1978) Branchial cysts, sinuses and fistulae. Clin Otolaryngol 3:407–414CrossRefGoogle Scholar
  44. McNab-Jones RF (1961) The Patterson-Brown-Kelly syndrome: its relationship to iron deficiency and postcricoid carcinoma. J Laryngol Otol 71:529–561CrossRefGoogle Scholar
  45. Nanson EM (1976) Carcinoma in a long-standing pharyngeal diverticulum. Br J Surg 63:417–419PubMedCrossRefGoogle Scholar
  46. Nosher JL, Campbell WL, Seaman WB (1975) The clinical significance of cervical esophageal and hypopharyngeal webs. Radiology 117:45–47PubMedGoogle Scholar
  47. Patterson HC, Dickerson GR, Pilch BZ et al (1981) Hamartoma of the hypopharynx. Arch Otolaryngol 107:767–772PubMedCrossRefGoogle Scholar
  48. Pernkopf E (1989) Anatomy, vol 1. Head neck, 3rd edn. Urban & Schwarzenberg, BaltimoreGoogle Scholar
  49. Perrot JW (1962) Anatomical aspects of hypopharyngeal diverticula. Aust N Z J Surg 31:307–317CrossRefGoogle Scholar
  50. Pitman RG, Fraser GM (1965) The post-cricoid impression of the esophagus. Clin Radiol 16:34–39PubMedCrossRefGoogle Scholar
  51. Rubesin SE (1991) Pharyngeal dysfunction. In: Gore RM (ed) Categorical course on gastrointestinal radiology. American College of Radiology, Reston, pp 1–9Google Scholar
  52. Rubesin SE (1994) Structural abnormalities. In: Gore RM, Levine MS, Laufer I (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, pp 244–276Google Scholar
  53. Rubesin SE (1995) Oral and pharyngeal dysphagia. Gastro Clin North Am 24:331–352Google Scholar
  54. Rubesin SE (2000a) Pharynx. In: Levine MS, Rubesin SE, Laufer I (eds) Double contrast gastrointestinal radiology. Saunders, Philadelphia, pp 61–89Google Scholar
  55. Rubesin SE (2000b) Pharynx: normal anatomy and examination techniques. In: Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, pp 190–211Google Scholar
  56. Rubesin SE (2000c) Structural abnormalities of the pharynx. In: Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, pp 227–255Google Scholar
  57. Rubesin SE, Glick SN (1988) The tailored double-contrast pharyngogram. Crit Rev Diagn Imaging 28:133–179PubMedGoogle Scholar
  58. Rubesin SE, Laufer I (1991) Pictorial review: principles of double contrast pharyngography. Dysphagia 6:170–178PubMedCrossRefGoogle Scholar
  59. Rubesin SE, Levine MS (2001) Killian-Jamieson diverticula: radiographic findings in 16 patients. Am J Roentgenol 177:85–89Google Scholar
  60. Rubesin SE, Stiles TD (1997) Principles of performing a “modified barium swallow” examination. In: Balfe DM, Levine MS (eds) Categorical course in diagnostic radiology: gastrointestinal. RSNA, Oak Brook, pp 7–20Google Scholar
  61. Rubesin SE, Jessurun J, Robertson D et al (1987a) Lines of the pharynx. Radiographics 7:217–237PubMedGoogle Scholar
  62. Rubesin SE, Jones BJ, Donner MW (1987b) Contrast pharyngography: the importance of phonation. Am J Roentgenol 148:269–272Google Scholar
  63. Seaman WB (1967) The significance of webs in the hypopharynx and upper esophagus. Radiology 89:32–38PubMedGoogle Scholar
  64. Seaman WB (1974) Contrast radiography in neoplastic disease of the larynx and pharynx. Semin Roentgenol 9:301–209Google Scholar
  65. Semenkovich JW, Balfe DM, Weyman PJ et al (1985) Barium pharyngography: comparison of single and double contrast technique. Am J Roentgenol 144:715–720Google Scholar
  66. Shauffer IA, Phillips HE, Sequeira J (1977) The jet phenomenon: a manifestation of esophageal web. Am J Roentgenol 129:747–748Google Scholar
  67. Shirazi KK, Daffner RH, Gaede JT (1977) Ulcer occurring in Zenker’s diverticulum. Gastrointest Radiol 2:117–118PubMedCrossRefGoogle Scholar
  68. Silver CE (1977) Surgical management of neoplasms of the larynx, hypopharynx and cervical esophagus. Curr Probl Surg 14:2–69PubMedCrossRefGoogle Scholar
  69. Smiley TB, Caves PK, Porter DC (1970) Relationship between posterior pharyngeal pouch and hiatus hernia. Thorax 25:725–731PubMedCrossRefGoogle Scholar
  70. Spiro RH, Koss LG, Hajdu SI et al (1973) Tumors of minor salivary origin. Cancer 31:117–129PubMedCrossRefGoogle Scholar
  71. Strong EW (1979) Carcinoma of the tongue. Otolaryngol Clin North Am 12:107–114PubMedGoogle Scholar
  72. Taylor AJ, Stewart ET, Dodds WJ (1990) The esophageal jet phenomenon revisited. Am J Roentgenol 155:289–290Google Scholar
  73. Thompson WM, Oddson TA, Kelvin F et al (1978) Synchronous and metachronous squamous cell carcinoma of the head, neck and esophagus. Gastrointest Radiol 3:123–127PubMedCrossRefGoogle Scholar
  74. Todd GB, Michaels L (1974) Hodgkin’s disease involving Waldeyer’s lymph ring. Cancer 34:176–1768Google Scholar
  75. Waldenstrom J, Kjellberg SR (1939) The roentgenological diagnosis of sideropenic dysphagia (Plummer-Vinson’s syndrome). Acta Radiol 20:618–638CrossRefGoogle Scholar
  76. Weaver JW, Kaude JV, Hamlin DJ (1984) Webs of the lower esophagus: a complication of gastroesophageal reflux? Am J Roentgenol 142:289–292Google Scholar
  77. Wychulis AR, Gunnulaugsson GH, Clagett OT (1969) Carcinoma arising in pharyngoesophageal diverticulum. Surgery 66:976–979PubMedGoogle Scholar
  78. Zaino C, Jacobson HG, Lepow H et al (1967) The pharyngoesophageal sphincter. Radiology 89:639–645PubMedGoogle Scholar
  79. Zaino C, Jacobson HG, Lepow H et al (1970) The pharyngoesophageal sphincter. Thomas, SpringfieldGoogle Scholar
  80. Zbaren P, Egger C (1997) Growth patterns of piriform sinus carcinomas. Laryngoscope 107:511–518PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Department of RadiologyUniversity of Pennsylvania School of MedicinePhiladelphiaUSA

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