Chondroradionecrosis of the Larynx in a Patient with Laryngeal: A Case Report.

Abstract

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.

• Authors: Aslan Ahmadi, Mohammad Mahdi Salem, Mahdi Safdarian, Shahriar Ilkhani, Roghaieh Hamidian, Mostafa Cheraghipour, Ali Daneshvar, Farzad Izadi
• Journal: Iranian journal of otorhinolaryngology (Iran J Otorhinolaryngol) Vol. 29 Issue 92 Pg. 179-180 (May 2017) ISSN: 2251-7251 [Print] Iran
• PMID: 28589113 (Publication Type: Case Reports)