Review Note
Last Update: 02/18/2024 05:30 AM
Current Deck: Part 2::1. Subsites::Head and Neck::Larynx and Hypopharynx
Published
Fields:
Front
H&N | Larynx+Hypopharynx | 2.2 | Appearance on nasendoscopy | Hypopharynx
Back
Typical findings on nasendoscopy for hypopharynx tumours
- Closure or obliteration of the pyriform fossa
- Mucosal ulceration
- Pooling of saliva in the pyriform fossa
- Edema of the arytenoids
- Fixation of the cricoarytenoid joint, true vocal cords or both
Further tips
- The full extent of tumours on the posterior pharyngeal wall can be difficult ot appreciate on FNE
- Early pyriform sinus tumours canbe subtle and examination with a modified valsalva manouvre during FNE while letting the patient blow against closed lips can be helpful, since a normal pyriform sinus mucosa will distend
- EUA is desirable: Direct laryngoscopy performed in the operating room allows an accurate evaluation of superficial tumour spread and extent
Further information, not for memorising (no card)
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