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ROBERT E. FECHNER, MD

Arch Otolaryngol. 1978;104(10):610-613.

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

PATHOLOGIC QUIZ CASE 1

John J. Conley, MD, Albert A. Clairmont, MD, New York

A 53-year-old woman began having some odynophagia on the left side and weakness to her voice in January 1976. The physical examination revealed a nonpulsatile mass pushing medially in the left tonsillar area (Fig 1). Also, in the left upper neck, behind the angle of the mandible, a 3 x 2-cm, palpable firm mass was obvious. There was no bruit, no cervical lymphadenopathy, and no other positive ENT findings. Arteriograms revealed a nonvascular mass in the left parapharyngeal area that uniformly constricted the common carotid artery (Fig 2 and 3).

At surgery, following a preliminary tracheostomy, the lower lip was split in the midline and the cheek-upper neck skin flap was reflected superiorly. The mandible was transected at the angle for better viewing. The mass appeared well-encapsulated and seemed to arise from the vagus nerve, which . . . [Full Text PDF of this Article]

Author Affiliations
University of Virginia School of Medicine Charlottesville, Va

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