PMC4023006_01
Esophageal barium exam. Leak of iodinated contrast few days after the surgery
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F1
However, an esophageal barium swallow documented a leak of iodinated contrast involving the lower peripharyngeal area [Figure 1].
Cervical CT. Abscess-like mass on cervical CT shifting the trachea. Documented after 3 weeks under antibiotic endovenous therapy and nasogastric tube placement
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F2
The cervical spine computed tomography (CT) scan showed an abscess-like mass shifting the trachea in the posterior aspect of the piriform sinus [Figure 2].
PMC4023006_02
Visual exam. Metallic foreign body in the oropharynx 4 years after the surgery
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F3
Four years after the surgery, he was referred by ENT due to the recent onset of dysphagia and visualization of a metallic foreign body in the oropharynx on the visual exam and fiberoptic laryngoscopy [Figures 3 and 4].
Endoscopy exam. Metallic foreign body in the oropharynx
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F4
Four years after the surgery, he was referred by ENT due to the recent onset of dysphagia and visualization of a metallic foreign body in the oropharynx on the visual exam and fiberoptic laryngoscopy [Figures 3 and 4].
CT exam. Posterior wall of the pharynx perforation
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F5
The plate had perforated the posterior wall of the pharynx and was removed utilizing a routine anterolateral cervical approach (e.g. a transoral approach was not chosen, as the lesion was too caudal) [Figure 5].
PMC4023006_03
Postsurgical urgent cervical CT. Prevertebral hematoma with left tracheal shift
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F6
The cervical CT showed an acute prevertebral hematoma from C1 to C7, with left tracheal shift [Figure 6].
Second postsurgical urgent cervical CT. Recurring prevertebral hematoma
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F7
Six days later, several hours after removal of the tracheotomy, the patient again deteriorated from a recurrent hematoma CT-documented [Figure 7].