2019
DOI: 10.1177/0145561319825739
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Delayed Radionecrosis of the Larynx

Abstract: A 68-year-old male presented to our emergency department with progressive dyspnea on exertion and hoarseness. Tracing his past history, he had received Co-60 radiotherapy for laryngeal cancer 20 years ago. On physical examination, there was dark desquamation over his neck and discharging wound over the anterior thyroid cartilage region ( Figure 1) with stridor breathing sound. Flexible fiberoptic laryngoscope revealed poor movement of bilateral vocal folds with narrowed glottic airway (Figure 2). Computed tomo… Show more

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“…Antibiotics and steroids are often the medical regime of choice; however, there is little evidence to support their use. A total of 74 cases of LCRN have been identified in the literature and are summarised in Table 3 6,9,12,13,15,16,18,22–35 . Of the 74 patients, four were initially managed by total laryngectomy.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Antibiotics and steroids are often the medical regime of choice; however, there is little evidence to support their use. A total of 74 cases of LCRN have been identified in the literature and are summarised in Table 3 6,9,12,13,15,16,18,22–35 . Of the 74 patients, four were initially managed by total laryngectomy.…”
Section: Discussionmentioning
confidence: 99%
“…A total of 74 cases of LCRN have been identified in the literature and are summarised in Table 3. 6,9,12,13,15,16,18,[22][23][24][25][26][27][28][29][30][31][32][33][34][35] Of the 74 patients, four were initially managed by total laryngectomy. Of the remaining 70, 48 (68.6%) improved from treatment ranging from antibiotic therapy to HBOT and cartilage resection.…”
Section: Discussionmentioning
confidence: 99%