title: A rare late complication after concomitant chemoradiation of an oropharyngeal tumor: cervical necrotizing fasciitis.
abstract: Chemoradiation is increasingly being used to treat locally advanced head and neck carcinomas. Possible rare complications of this treatment modality have begun to appear, as the number of treated patients increase. In this report, we present a case who underwent chemoradiation due to T3N3M0 tonsil cancer and developed necrotizing fasciitis of the neck at seven months following treatment. The patient recovered fully after treatment with surgical debridement with pectoralis major flap reconstruction and intravenous antibiotherapy.
authors.affiliation: Department of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands. b.karakullukcu@nki.nl
authors.forename: Barış
authors.initials: B
authors.lastname: Karakullukçu
authors.forename: Dalith
authors.initials: D
authors.lastname: van der Vlies
authors.forename: Frank Jp
authors.initials: FJ
authors.lastname: Hoebers
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D059248:Chemoradiotherapy / Q000009:adverse effects*; D003646:Debridement; D004322:Drainage; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016879:Salvage Therapy; D016038:Skin Transplantation; D013524:Surgical Flaps; D014067:Tonsillar Neoplasms / Q000601:surgery / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents