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Tornwaldt's disease
1Department of Otolaryngology, Nara Medical University, Japan.
Acta Oto-Laryngologica. Supplementum
|January 1, 1994
Summary
Tornwaldt's disease, an inflammation of the pharyngeal bursa remnant cyst, can cause upper respiratory symptoms. Diagnosis involves imaging, and treatment ranges from observation to surgical removal.
Area of Science:
- Otolaryngology
- Embryology
Background:
- Tornwaldt's disease involves inflammation or abscess of the pharyngeal bursa remnant cyst.
- It occurs at the posterior median wall of the nasopharynx, stemming from embryonic development.
- While often asymptomatic, symptoms arise from mechanical stimuli or trauma.
Purpose of the Study:
- To describe the etiology, symptoms, diagnosis, and treatment of Tornwaldt's disease.
Main Methods:
- Review of reported cases and diagnostic techniques including posterior rhinoscopy, X-ray tomography, nasofiberoscopy, CT, and MRI.
- Discussion of surgical approaches such as transpalatal extirpation, incision, or excision.
Main Results:
- Tornwaldt's disease presents with symptoms like occipital pain, nasal obstruction, and halitosis.
- Imaging modalities are crucial for identifying cyst adhesion to cervical vertebrae.
- Few cases were reported in Japan historically.
Conclusions:
- Tornwaldt's disease requires accurate diagnosis through various imaging techniques.
- Treatment strategies should be individualized, ranging from conservative management to surgical intervention.