[Laryngeal chondro-radionecrosis].
Laryngeal chondroradionecrosis is a complication following radiotherapy for laryngeal tumours that may appear many years after the treatment. We present the case of a 78 year old man, that come to the Accident and Emergency department with a prelaryngeal mass and hemoptysis. He had been treated 17 years before with radiotherapy for a vocal cond carcinoma. Posteriorly the lesion did a cutaneous fistula with complete laryngeal exposition and torpid evolution. Post-radiotherapy necrosis in the larynx is a serious complication though not a common one. A tumour recurrence needs to be excluded and even in this case a total laryngectomy is mandatory as it will end in total loss of laryngeal function.
Sancho
E
E
Servicio ORL, Hospital Clínico Universitario Lozano Blesa, Avda. San Juan Bosco, 15, 50009 Zaragoza.
Escorial
O
O
Cortés
J M
JM
Rivas
P
P
Millán
J
J
Vallés
H
H
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000188:drug therapy / Q000382:microbiology; D002357:Cartilage Diseases / Q000209:etiology* / Q000382:microbiology; D005122:Exudates and Transudates / Q000382:microbiology; D005402:Fistula / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D007822:Laryngeal Neoplasms / Q000532:radiotherapy*; D008297:Male; D011832:Radiation Injuries / Q000209:etiology; D011878:Radiotherapy / Q000009:adverse effects*
D000935:Antifungal Agents