We describe the diagnostic and therapeutic complexities we encountered in an unusual case of piriform sinus
cancer that had arisen in a field of pharyngeal Crohn disease.
It then ascends along the carotid sheath, passing over the superior laryngeal nerve, deep to the glossopharyngeal nerve, behind the internal carotid, piercing the thyrohyoid membrane and entering the upper lateral piriform sinus
wall (18, 19).
Oral cancers include those of the lip, tongue, mouth, throat and a region called the piriform sinus
The pseudomembrane covered the supraglottic structures, including the epiglottis, vallecula and piriform sinus
, the postericoid region, and glottic inlet.
However, the patient swallowed, and the needle migrated to the piriform sinus
and then disappeared in the esophagus.
Folds of Gore-Tex were seen in the right piriform sinus
A barium swallow esophagogram revealed a fistulous tract from the piriform sinus
to a right fourth branchial cleft cyst (figure 1, B).
2-cm radiopaque foreign body in the hypopharynx perforating the left piriform sinus
, with extensive fascial emphysema in the retropharyngeal and parapharyngeal spaces extending into the mediastinum (figure 1).
Qureshi et al conducted a prospective study of 143 patients who underwent total laryngectomy for squamous cell carcinoma of the larynx and piriform sinus
A size 3 Miller intubating laryngoscope was placed into the left piriform sinus
and used to mobilize the displaced segment obliquely, anteriorly, and to the right.