Obana K K, Fee W E
Division of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, California 94305-5328.
Ann Otol Rhinol Laryngol. 1987 Sep-Oct;96(5):527-9. doi: 10.1177/000348948709600510.
A 58-year-old man was evaluated for a 42-year complaint of a pharyngeal foreign body sensation whenever he ate. Examination revealed normal anatomy at rest but diffuse hypopharyngeal distension with Valsalva's maneuver. His past history was remarkable for an infectious illness, possibly diphtheria. We speculate that this unusual case most likely represents a postdiphtheritic selective pharyngeal paralysis and present his case, radiographic findings, and a discussion of the differential diagnosis.
一名58岁男性因进食时咽部有异物感42年前来就诊。检查发现静息时解剖结构正常，但瓦尔萨尔瓦动作时下咽弥漫性扩张。他过去有过一次感染性疾病史，可能是白喉。我们推测这个不寻常的病例很可能代表白喉后选择性咽部麻痹，并展示他的病例、影像学检查结果以及鉴别诊断的讨论。
