Severe postextubation laryngeal obstruction: the role of prior neck dissection and radiation.
Aggressive treatment of advanced head and neck cancer may result in more patients undergoing surgery for unrelated illnesses. We present a case of a patient requiring emergency tracheostomy placement after a routine liver segment resection 10 yr after undergoing a bilateral modified radical neck dissection and radiation therapy. This type of patient may be at increased risk for both postoperative laryngeal edema and neuronal imbalance secondary to their preoperative condition.
Burkle
Christopher M
CM
Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Walsh
Michael T
MT
Pryor
Shepherd G
SG
Kasperbauer
Jan L
JL
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007830:Larynx / Q000528:radiation effects* / Q000601:surgery*; D037981:Neck Dissection / Q000009:adverse effects*; D018307:Neoplasms, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D012720:Severity of Illness Index; D014062:Tongue Neoplasms / Q000532:radiotherapy / Q000601:surgery; D014139:Tracheostomy