Details

Autor(en) / Beteiligte

• Timmermans, A. Jacqueline
• Brandsma, Dieta
• Smeele, Ludi E.
• Rosingh, Andert W.
• van den Brekel, Michiel W. M.
• Lohuis, Peter J. F. M.

Titel

Cervical Osteomyelitis after Carbon Dioxide Laser Excision of Recurrent Carcinoma of the Posterior Pharyngeal Wall

Ist Teil von

• Annals of otology, rhinology & laryngology, 2013-04, Vol.122 (4), p.273-276

Ort / Verlag

Los Angeles, CA: SAGE Publications

Erscheinungsjahr

2013

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.