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Andrew R. Scott, MD; Eric H. Holbrook, MD
Massachusetts Eye and Ear Infirmary, Boston

Arch Otolaryngol Head Neck Surg. 2008;134(4):442.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 71-year-old woman was referred to our institution for evaluation of a rapidly enlarging neck mass along with dysphagia, drooling, and dyspnea. She reported that painless neck swelling had developed over the preceding month, followed by dramatic enlargement of a left-sided mass in the previous week. Before her transfer, a computed tomographic scan had been performed. The referring physician did not feel that the patient's airway could be secured before transport.

On presentation, the patient was in mild distress and unable to tolerate her secretions. Physical examination showed marked kyphosis and a large, firm, left-sided cervical mass that was causing right lateral neck flexion. Only secretions could be seen on flexible laryngoscopy. Vocal fold mobility could not be assessed because the mass obliterated the oropharynx, leaving no identifiable landmarks. An axial, contrast-enhanced computed tomographic scan of the neck and chest from the . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2008;134(4):444.
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