Cervical osteomyelitis after carbon dioxide laser excision of recurrent carcinoma of the posterior pharyngeal wall.
Ann Otol Rhinol Laryngol
; 122(4): 273-6, 2013 Apr.
Article
em En
| MEDLINE
| ID: mdl-23697326
ABSTRACT
Two patients with recurrent carcinoma of the posterior pharyngeal wall, previously treated with carbon dioxide (CO2) laser excision and (chemo)radiotherapy, presented with neck pain due to cervical osteomyelitis. In one patient this led to cervical spine instability, for which a haloframe was applied. Our working hypothesis was that cervical osteomyelitis was caused by an infected wound bed induced by CO2 laser excision of the tumor in the already vascular-compromised area of the irradiated posterior pharyngeal wall. We discuss the risks of leaving a wound for secondary granulation after CO2 laser excision of the posterior pharyngeal wall and prophylactic antibiotic treatment.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Osteomielite
/
Doenças da Coluna Vertebral
/
Carcinoma de Células Escamosas
/
Neoplasias Faríngeas
/
Vértebras Cervicais
/
Lasers de Gás
/
Neoplasias de Cabeça e Pescoço
/
Recidiva Local de Neoplasia
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article