was percutaneously injected into the base of the pharyngocele under flexible fiberoptic guidance and with local anesthesia in clinic (see video at www.
A pharyngocele is a diverticulum of the pharyngeal wall.
A pharyngocele should be considered in the differential diagnosis of dysphagia, and a percutaneous augmentation can be included in the menu of treatment options.
Fiberoptic laryngoscopy demonstrated a 5- mm pharyngocele and food remnants in the adjacent vallecula (figure 3).
No symptoms were observed during follow-up, and a barium-swallow x-ray and fiberoptic laryngoscopy revealed no pharyngocele on the left.
Patients with a pharyngocele exhibit a variety of signs and symptoms, depending on the size of the pharyngeal orifice, the size of the diverticulum, whether the pouch drains easily, and whether it is infected.
When the ostium of a pharyngocele is located in this area, it is usually situated on the internal surface of the pharynx, in the region inferior to the lower pole of the tonsil and at the lateral side of the vallecula.
A pharyngocele can appear as a mass and is usually associated with various symptoms, including dysphagia, hoarseness, cervical pain, regurgitation, dysphonia, cough, earache, and odynophagia.
Laryngoceles in general do require surgery, while pharyngoceles are not true pouches and diminish in size if the increases in pharyngeal pressure (playing a musical instrument) are stopped.
It is also important to recognize, however, that the therapeutic implications of the distinction are not as clear-cut as they once were, and that lesions that combine-features of laryngoceles and pharyngoceles occur.
Several unusual BAs have been reported, including retropharyngeal abscesses, (2,3,20) pharyngoceles, (4) duplicate middle ear ossicles, (5) and intrathyroidal masses and abscesses.
Bilateral pharyngoceles (branchial cleft anomalies?