A case of laryngeal chondroradionecrosis

Year 2003, Volume: 11 Issue: 1, 29 - 32, 17.01.2003

Sinan Kocatürk Selma Kurukahvecioğlu Armağan İncesulu Ünsal Erkam

Abstract

Chondroradionecrosis is one of the rare but important complications of radiation therapy for laryngeal carcinoma. A sixty-one-year-old male patient with glottic carcinoma T1bN0M0 was treated with radio- therapy because he did not give consent to surgery.He developed difficulty in breathing and halitosis three months following radiotherapy. Radiologic and clinical signs were consistent with a diagnosis of laryngeal chondroradionecrosis. Medical treatment with steroids and antibiotics did not relieve his symptoms, so total laryngectomy was performed. No postoperative complications were seen. The surgical specimen was free of tumor.

Keywords

Laryngeal cartilages/radiation effects/radiotherapy, laryngeal neoplasms/radiotherapy, laryngectomy, necrosis/etiology, radiotherapy/adverse effects, tomography, X-ray computed

Larenjeal kondroradyonekroz: Olgu sunumu

Abstract

Kondroradyonekroz, larenks kanserlerinin radyas- yon ile tedavisinde nadir ama önemli komplikasyon- larından biridir. T1bN0M0glottik karsinom tanısı ko- nan 61 yaflındaki erkek hastaya cerrahi tedaviyi ka- bul etmemesi üzerine radyoterapi uygulandı. Hasta radyoterapi sonrası üçüncü ayda solunum sıkıntısı ve halitosiz yakınmasıyla baflvurdu. Radyolojik ve klinik muayene bulgularıyla larenjeal kondroradyo- nekroz tanısı kondu. Medikal tedaviye steroid ve antibiyotik yanıt vermeyen hastaya total larenjekto- mi uygulandı. Ameliyat sonrasında komplikasyon geliflmedi. Cerrahi örneğinin histopatolojik inceleme- sinde tümöre rastlanmadı

Keywords

Larenjeal kartilajlar/radyasyon etkileri/radyoterapi, larenjeal neoplazmlar/radyoterapi, larenjektomi, nekroz/etyoloji, radyoterapi/yan etkiler, bilgisayarlıtomografi

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