Document Detail


Retropharyngeal calcific tendonitis mimics a retropharyngeal abscess.
MedLine Citation:
PMID:  23956905     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Retropharyngeal calcific tendonitis (RCT) is an uncommon, self-limiting condition that is often omitted in the differential diagnosis of a retropharyngeal fluid collection. This condition mimics a retropharyngeal abscess and should be considered when evaluating a fluid collection in the retropharyngeal space. Although calcific tendonitis at other sites has been well described in the medical literature, it appears that this entity has been underreported in the otolaryngology literature where only a few case reports have been identified. Presumably, the actual incidence is higher than the reported incidence, due to lack of familiarity with this disorder. As an otolaryngologist's scope of practice includes the managements of retropharyngeal lesions, it is important for the otolaryngologist to recognize the presentation of acute RCT and be familiar with appropriate treatment strategies. Retropharyngeal calcific tendonitis presents with neck pain, limitation of neck range of motion and includes inflammation, calcifications, and a sterile effusion within the longus colli muscle. Treatment is medical with nonsteroidal anti-inflammatory medications. RCT does not require surgical treatment, and an accurate diagnosis can prevent unnecessary attempts at operative drainage. In this study, we discuss two cases of RCT, summarize the salient features in diagnosis, including key radiologic features, discuss treatment options, and review the literature.
Authors:
Natasha Pollak; Sonya Wexler
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Publication Detail:
Type:  Journal Article     Date:  2013-07-15
Journal Detail:
Title:  Case reports in otolaryngology     Volume:  2013     ISSN:  2090-6765     ISO Abbreviation:  Case Rep Otolaryngol     Publication Date:  2013  
Date Detail:
Created Date:  2013-08-19     Completed Date:  2013-08-19     Revised Date:  2013-08-23    
Medline Journal Info:
Nlm Unique ID:  101576603     Medline TA:  Case Rep Otolaryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  818561     Citation Subset:  -    
Affiliation:
Department of Otolaryngology-Head & Neck Surgery, Temple University School of Medicine, 3440 North Broad Street, Kresge West, Philadelphia, PA 19140, USA.
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