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Osteoradionecrosis of the hyoid bone complicated by pharyngocutaneous fistula: A case report and literature review
- Source :
- American journal of otolaryngology. 40(2)
- Publication Year :
- 2018
-
Abstract
- Background Osteoradionecrosis (ORN) is a well-known complication following irradiation of head and neck malignancies. ORN commonly occurs in the mandible but is rarely reported in the hyoid bone. Case presentation A 76-year-old female with a history of oropharyngeal squamous cell carcinoma presented with pharyngocutaneous fistula 14 years after primary chemoradiation. Imaging showed necrosis of the hyoid bone. She underwent excision of the hyoid to rule out malignancy. Pathology was negative for carcinoma, but did show extensive fragmentation and bony necrosis consistent with ORN. The patient's clinical course, surgical treatment, and management considerations are discussed here. Conclusions Hyoid ORN should remain in the differential during diagnostic workup of previously irradiated head and neck cancer patients. The presentation of a pharyngocutaneous fistula should prompt workup to rule out malignancy before assigning a diagnosis of ORN.
- Subjects :
- medicine.medical_specialty
Fistula
Osteoradionecrosis
medicine.medical_treatment
Cutaneous Fistula
Pharyngocutaneous Fistula
Malignancy
Diagnosis, Differential
03 medical and health sciences
0302 clinical medicine
stomatognathic system
Carcinoma
Medicine
Humans
030223 otorhinolaryngology
Aged
business.industry
Hyoid bone
Head and neck cancer
Hyoid Bone
Chemoradiotherapy
Pharyngeal Diseases
respiratory system
Middle Aged
medicine.disease
Radiation therapy
Oropharyngeal Neoplasms
Otorhinolaryngology
030220 oncology & carcinogenesis
Carcinoma, Squamous Cell
Female
sense organs
Radiology
business
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 1532818X
- Volume :
- 40
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- American journal of otolaryngology
- Accession number :
- edsair.doi.dedup.....cef81760b25dcc2707469e6ea84aa61c