subsequent gastroscopy showed atony, esophageal dilation, and a narrowed tortuous segment in the distal esophagus (fig. fiberoptic laryngoscopy revealed a non-solid bulging of the posterior pharyngeal wall, which was present at rest (fig. as the findings did not explain the pharyngeal posterior wall swelling, and since her symptoms had progressed, a second evaluation in a multidisciplinary setting was arranged. the posterior pharyngeal wall bulging corresponded to the most cranial part of the air-filled diverticulum.
mid-esophageal diverticula are generally a few centimeters in size, although a few giant diverticula of up to 8–9 cm have been described in literature. this is an example of a true diverticulum, involving all layers of the esophageal wall . in this clinical conundrum, we presented the case of a giant mid-esophageal diverticulum that caused dysphagia, dyspnea, and dysphonia, and was initially overlooked due to its sheer size. to view a copy of this licence, visit /licenses/by/4.0/. dysphagia 36, 754–757 (2021).
to estimate the frequency of postoperative dyspnea and dysphagia in children after occipitocervical fusion and to identify variables associated with its occurrence. we retrospectively reviewed outcomes from all pediatric occipitocervical fusions at our institution between 2007 and 2014. pre- and postoperative computed tomography (ct) scans were compared to determine differences in the clivoaxial (oc2) angles. fifty-six of 62 patients (90.3%) with at least 1 yr of follow-up had successful fusions.
none of 15 patients placed in extension (>2 degrees) relative to preoperative ct in situ position developed new dyspnea or dysphagia. nine of forty patients (23%) kept in situ or flexed position developed new symptoms of dyspnea or dysphagia. no patient under age 5 (n = 20) developed symptoms of dyspnea or dysphagia regardless of head position. careful measurements of the oc2 angle during surgery to ensure optimal head positioning in situ or slightly extended position may prevent postoperative dysphagia or dyspnea.
small fibrolipomas may go unnoticed, and may cause progressive dyspnea and dysphagia, sometimes intermittent, sensation of a foreign body in the thyroid enlargement can cause direct compression of the trachea leading to dyspnea, especially while lying supine. dysphagia can be a direct a woman in her early 60s presents with progressive dysphagia to solid foods for 2 years, new-onset dyspnea associated with cough and fever, 4 stages of dysphagia, 4 stages of dysphagia, respiratory dysphagia symptoms, dysphagia treatment, dysphagia causes.
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