AI Article Synopsis
- * The case series highlights imaging findings related to the breakdown of the pharyngoesophageal wall and associated cervical spine infections, which often affect patients who have had previous dilations for benign strictures.
- * Symptoms like neck pain, fever, or signs of infection should trigger a thorough evaluation for osteomyelitis-diskitis and possible breakdown of the neopharynx after dilation treatments.
Article Abstract
Laryngectomy and pharyngectomy are surgical options for advanced laryngeal or pharyngeal squamous cell carcinoma. Cervical osteomyelitis-diskitis, occurring when there is dehiscence of the posterior neopharyngeal wall, is an uncommon complication of laryngopharyngectomy. This case series describes imaging findings of pharyngoesophageal wall breakdown with subsequent cervical spine infection and demonstrates that most of these patients had undergone prior esophageal or neopharyngeal dilations for benign posttreatment stricture. Neck pain, fever, or serologic evidence of infection should prompt careful evaluation for osteomyelitis-diskitis and assessment for neopharyngeal breakdown and sinus tract formation, especially in the postdilation setting.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10714855 | PMC |
| http://dx.doi.org/10.3174/ajnr.A8042 | DOI Listing |
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