Neck stiffness after transoral pharyngolaryngeal surgery for squamous cell carcinoma
| Autor: | S. Bartier, O. Mazzaschi, E. Sauvaget |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Spondylodiscitis
Male medicine.medical_specialty Discitis Fistula medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Postoperative Complications Medicine Humans 030223 otorhinolaryngology Neck stiffness Mouth business.industry Carcinoma in situ Intervertebral disc Middle Aged medicine.disease Surgery Otorhinolaryngologic Surgical Procedures Laryngectomy Radiation therapy Oropharyngeal Neoplasms medicine.anatomical_structure Otorhinolaryngology Oropharyngeal Carcinoma 030220 oncology & carcinogenesis Carcinoma Squamous Cell Cervical Vertebrae business Neck |
| Zdroj: | European annals of otorhinolaryngology, head and neck diseases. 137(4) |
| ISSN: | 1879-730X |
| Popis: | Introduction Pyogenic spondylodiscitis is a rare, destructive intervertebral disc infection. Case summary We describe a case of C2-C3 pyogenic spondylodiscitis after transoral surgery of the posterior pharyngeal wall in a 64-year-old man with a history of oropharyngeal squamous cell carcinoma (SCC) treated by neck irradiation (45 Gy). Ten years after initial treatment, he underwent total laryngectomy for laryngeal SCC, together with transoral resection of carcinoma in situ (CIS) of the posterior pharyngeal wall followed by BioDesign® tissue repair graft. Five months later, C2-C3 spondylodiscitis was diagnosed with the formation of a fistula between the posterior pharyngeal wall and the intervertebral disc. Antibiotic therapy was administered for a total duration of 3 months (multi-susceptible Escherichia coli). Eight months after the diagnosis of spondylodiscitis, the patient died from carotid artery rupture following another course of radiotherapy for lymph node recurrence. Discussion Larger-scale studies are necessary to evaluate the prevalence and risk factors of radiation-induced spondylodiscitis that currently remain poorly elucidated. The best treatment strategy (choice and duration of antibiotic therapy) and the optimal frequency of follow-up must be determined and the value of preventive measures (biomaterial, flap repair) needs to be evaluated. |
| Databáze: | OpenAIRE |
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