Question of the Day

Think of the guttural pouch area when you hear the names of these surgical approaches, especially Viborg’s triangle.

Diseases to think of include:
– guttural pouch tympany
– guttural pouch empyema
– guttural pouch mycosis

Follow this link to see an endoscopic view of GP mycosis: note the white fungal plaque over the internal carotid artery and cranial nerves IX (glossopharyngeal) and X (vagus) along the caudodorsal wall of the medial compartment.

Follow this link to see internal carotid, CN IX, X more clearly outlined in a case of GP empyema (left side of image).