Cervical Thorotrast granuloma: a review of the literature and a new treatment modality.
Extravasation of thorium dioxide after transcervical carotid angiography has resulted in persistent open draining neck wounds. These difficult problems have remained a challenge for the treating head and neck surgeon. Neck dissection has been the mainstay of treatment in the past; however, this has been fraught with complications. The application of doxycycline sclerosis is described in the successful resolution of a large thorotrast granulomatous neck wound. A review of the literature and the management options of Thorotrast granulomas are discussed.
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston 02114, USA.
F
F
Ung
J B
JB
Lazor
W W
WW
Montgomery
D000368:Aged; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003287:Contrast Media / Q000009:adverse effects*; D006099:Granuloma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D013535:Suspensions; D013911:Thorium Dioxide / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D013535:Suspensions; D013911:Thorium Dioxide