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J Magn Reson Imaging. 2014 Jul;40(1):55-7. doi: 10.1002/jmri.24400. Epub 2013 Nov 4.

Real-time and three-dimensional MRI for diagnosis of pharyngoceles.

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  • 1Institute of Musicians' Medicine, University of Music and University Medical Center Freiburg, Freiburg, Germany; Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Freiburg University Medical Center, Freiburg, Germany.


In the evaluation of patients with local pathologic dilatation inside the upper airway a pressure-related testing seems important for understanding its pathophysiology and for developing a concept of intra-individually adjusted therapy. Commonly used diagnostic techniques like endoscopy or medical imaging including ultrasound, barium swallow or computer-assisted tomography (CT) have shown limitations either in evaluating a dynamic process or assessing the entirety of cervical structures. This article presents a case report of a professional trumpet player with bilateral pharyngoceles, introducing real-time and three-dimensional (3D) MRI as a helpful tool in the diagnosis of pressure dependent pathologies in the upper airway. With the use of MRI the complete sub- and supraglottic airway can be viewed simultaneously, avoiding the distortion which can occur with endoscopy. Thus, it was possible to evaluate the pharyngoceles pressure-related pathophysiology, from which a successful therapy could be conceived which included modifying the musician's blowing technique.

© 2013 Wiley Periodicals, Inc.


lateral pharyngeal diverticula; pharyngocele; real-time MRI; three dimensional reconstruction; trumpet player

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