Chondroradionecrosis of the Larynx in a Patient with Laryngeal: A Case Report
نویسندگان
1 ENT-Head and Neck Surgery Research Center, Hazrat Rasoul Akram Hospital , Iran University of Medical Science, Tehran, Iran.
2 ENT-Head and Neck Surgery Research Center, Hazrat Rasoul Akram Hospital , Iran University of Medical Science, Tehran, Iran.
3 ENT-Head and Neck Surgery Research Center, Hazrat Rasoul Akram Hospital , Iran University of Medical Science, Tehran, Iran.
4 ENT-Head and Neck Surgery Research Center, Hazrat Rasoul Akram Hospital , Iran University of Medical Science, Tehran, Iran.
5 ENT-Head and Neck Surgery Research Center, Hazrat Rasoul Akram Hospital , Iran University of Medical Science, Tehran, Iran.
6 ENT-Head and Neck Surgery Research Center, Hazrat Rasoul Akram Hospital , Iran University of Medical Science, Tehran, Iran.
7 ENT-Head and Neck Surgery Research Center, Hazrat Rasoul Akram Hospital , Iran University of Medical Science, Tehran, Iran.
8 ENT-Head and Neck Surgery Research Center, Hazrat Rasoul Akram Hospital , Iran University of Medical Science, Tehran, Iran.
doi
10.22038/ijorl.2017.8649چکیده
Introduction: Actinomycosis of the larynx has been rarely reported in the literature and usually occurs in patients with a history of laryngeal carcinoma and radiation therapy. However, its co-existence with chondroradionecrosis due to radiotherapy is even rarer. The most common site of infection is the cervicofacial region, especially in the submandibular area. Case Report: Here we report a 63-year-old male with a history of chemoradiotherapy because of laryngeal cancer 1 year earlier who presented with laryngeal actinomycosis. After prolonged penicillin-based treatment, the patient underwent thyroid cartilage defect reconstructive surgery because of a laryngocutaneous fistula due to chondroradionecrosis. The diagnosis, work-up, and management of the case are discussed, as well as a review of the literature. Conclusion: Although actinomycotic infection of the larynx is rare, it should be considered in the differential diagnosis of laryngeal complaints, especially in immunocompromised patients.
