Larenjeal kondroradyonekroz: Olgu sunumu
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
Anahtar Kelimeler:
Larenjeal kartilajlar/radyasyon etkileri/radyoterapi, larenjeal neoplazmlar/radyoterapi, larenjektomi, nekroz/etyoloji, radyoterapi/yan etkiler, bilgisayarlıtomografi
A case of laryngeal chondroradionecrosis
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,
___
- Oppenheimer RW, Krespi YP, Einhorn RK. Management of laryngeal radionecrosis: animal and clinical experience. Head Neck 1989;11:252-6.
- Hermans R, Pameijer FA, Mancuso AA, Parsons JT, Mendenhall WM. CT findings in chondro r a d i o n e c ro s i s of the larynx. AJNR Am J Neuroradiol 1998;19:711 - 8 .
- Krespi YP, Ossoff RH (editors). Complications in head and neck surgery. Philadelphia : W.B. Saunders ; 1993.
- Chandler JR. Radiation fibrosis and necrosis of the lar- ynx. Ann Otol Rhinol Laryngol 1979;88:509-14.
- Calcaterra TC, Stern F, Wa rd PH. Dilemma of delayed radiation injury of the larynx. Ann Otol Rhinol Laryngol 1 9 7 2 ; 8 1 : 5 0 1 - 7 .
- Ward PH, Calcaterra TC, Kagan AR. The enigma of post-radiation edema and recurrent or residual carci- noma of the larynx. Laryngoscope 1975;85:522-9.
- McGovern FH, Fitz-Hugh JS, Constable W. Post-radia- tion perichondritis and cartilage necrosis of the larynx. Laryngoscope 1973;83:808-15.
- Rowley H, Walsh M, McShane D, Fraser I, O'Dwyer TP. Chondroradionecrosis of the larynx: still a diag- nostic dilemma. J Laryngol Otol 1995;109:218-20.
- Davis JC, Dunn JM, Gates GA, Heimbach RD. Hyperbaric oxygen. A new adjunct in the management of radiation necrosis. Arch Otolaryngol 1979;105:58-61.
- Greenwood TW, Gilchrist AG. Hyperbaric oxygen and wound healing in post-irradiation head and neck surgery. Br J Surg 1973;60:394-7.
- Hart GB, Mainous EG. The treatment of radiation necrosis with hyperbaric oxygen (OHP). Cancer 1976; 37:2580-5.
- Krespi YP, Pelzer HJ, Sisson GA. Management of chronic aspiration by subtotal and submucosal cricoid resection. Ann Otol Rhinol Laryngol 1985;94:580-3.
- ISSN: 2602-4837
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 1991
- Yayıncı: İstanbul Üniversitesi
Sayıdaki Diğer Makaleler
Parotis bezi yerleşimli Hodgkin lenfoma: Olgu sunumu
Atilla GÜNGÖR, Ethem POYRAZOĞLU, Hakan CINCIK, Adem ÇAKMAK, Şükrü YILDIRIM
Levent ERİŞEN, Fikret KASAPOĞLU, Hamdi Hakan COŞKUN, Oğuz BASUT, İlker TEZER, İbrahim HIZALAN, Selçuk ONART
Topikal uygulanan askorbik asidin sıçan kulak zarı perforasyonlarında iyileşmeye etkisi
Uğur ÇINAR, Özgür YİĞİT, Berna USLU COŞKUN, Seyhan ALKAN, Özlem ÜNSAL, Gökhan AKGÜL, Burhan DADAŞ, Tülay BAŞAK
Larenjeal kondroradyonekroz: Olgu sunumu
Sinan KOCATÜRK, Selma KURUKAHVECİOĞLU, Armağan İNCESULU, Ünsal ERKAM
Larenks kanseri cerrahisinde boyun metastazının sağkalıma etkisi
Emre YÜCEL, Yahya GÜLDİKEN, Mehmet Ali SOLMAZ, Mustafa ÖZDEMİR, Kemal DEĞER