Laryngeal and pharyngeal actinomycosis: a systematic review and report of 3 cases.
Am J Otolaryngol
; 43(6): 103609, 2022.
Article
en En
| MEDLINE
| ID: mdl-36029619
ABSTRACT
INTRODUCTION:
Actinomycosis is a granulomatous infection that rarely involves the larynx or pharynx. Three cases of actinomycosis of the larynx or pharynx from our institution were reviewed and a systematic literature review was performed to better define surgical management, antibiotic therapy, risk factors, and incidence of recurrence or complications. MATERIALS ANDMETHODS:
PubMed/Medline, Cochrane, Embase, and Google Scholar were searched on November 30, 2021 using the terms "laryngeal actinomycosis", "pharyngeal actinomycosis", "actinomycosis AND larynx", and "actinomycosis AND pharynx." Articles which did not describe appropriate sites or were non-English were excluded. Results were collected for demographic information, site(s) of infection, comorbidities, lesion characteristics and treatments.RESULTS:
Along with three cases reported from our institution, 40 unique cases were reviewed from 37 studies for a total of 43 patients (Table 1). 34 (81.0 %) of the patients were male with the highest incidence of infection in the seventh decade (54.8 %). The most common site for the infection was the larynx (69.0 %) followed by the pharynx (16.7 %). Risk factors included a history of radiation therapy, immunosuppression, inhalational irritant, and diabetes (Table 3). The duration of antibiotic therapy varied greatly, from one month to one year and total follow up ranged from 1 month to 2.5 years (Table 1).CONCLUSIONS:
A comprehensive review of the literature on pharyngolaryngeal actinomycosis shows that this infection has increased prevalence within the head and neck cancer patient population. Similar to cervicofacial actinomycosis, these atypical sites have shown favorable responses to extended antibiotic therapy and generally do not require aggressive surgical management.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Actinomicosis
/
Laringe
Tipo de estudio:
Systematic_reviews
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Am J Otolaryngol
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos