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Year : 2013  |  Volume : 3  |  Issue : 1  |  Page : 18-21

"Doctor I have a frog in my throat": Bilateral pharyngoceles in a recreational trumpet player

1 Warwick Hospital - South Warwickshire NHS Foundation Trust, South Warwickshire, United Kingdom
2 Department of Radiology, University Hospital Birmingham, NHS Foundation Trust, Birmingham, United Kingdom
3 ENT, University Hospital Birmingham, NHS Foundation Trust, Birmingham, United Kingdom

Correspondence Address:
Charles Daultrey
Flat 2, The Garden House, 190 Harborne Road, Edgbaston, B15 3JJ Birmingham
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-9748.118712

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Pharyngocele is defined as "lateral pharyngeal wall herniation located in the piriform recess or at the valleculae" and was first described in 1886. The phenomenon is rare. It is characterised by bulging of the pharynx locally and is associated with recurrent increase in intrapharyngeal pressure, reduced muscle resilience, and increasing age. The case describes a 51-year-old recreational trumpeter with bilateral pharyngoceles that demonstrated when blowing into his instrument, reminiscent of a "bullfrog." Differential diagnosis included "Zenker's diverticulum", (pharyngeal pouch), laryngocele, and jugular venous phlebectasia, which may be confirmed through clinical examination and investigation. The report includes remarkable images seen on examination and images of the swelling seen with plain film radiography, barium swallow, and computed tomography. We discuss the management options available, including repair and excision of the pouch, either as an open procedure or endoscopically, and explore the conservative measures as a basis in the management of even significant pharyngoceles.

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