Cervical osteomyelitis after carbon dioxide laser excision of recurrent carcinoma of the posterior pharyngeal wall.

Abstract

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.

• Authors: A Jacqueline Timmermans, Dieta Brandsma, Ludi E Smeele, Andert W Rosingh, Michiel W M van den Brekel, Peter J F M Lohuis
• Journal: The Annals of otology, rhinology, and laryngology (Ann Otol Rhinol Laryngol) Vol. 122 Issue 4 Pg. 273-6 (Apr 2013) ISSN: 0003-4894 [Print] United States
• PMID: 23697326 (Publication Type: Case Reports, Journal Article)

Topics

• Carcinoma, Squamous Cell (surgery)
• Cervical Vertebrae
• Female
• Head and Neck Neoplasms (surgery)
• Humans
• Lasers, Gas (adverse effects)
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Neoplasm Recurrence, Local (surgery)
• Osteomyelitis (etiology, pathology)
• Pharyngeal Neoplasms (radiotherapy, surgery)
• Spinal Diseases (etiology)
• Squamous Cell Carcinoma of Head and Neck