Hyoid osteoradionecrosis associated with carotid rupture: Report of 2 cases

Chard, Rachel; Monroe, Marcus M.; Andersen, Peter E.

doi:10.1002/hed.21847

Cited by 8 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hyoid bone ORN is a rare entity described in only 11 patients within the otolaryngology literature (Table 1) [10][11][12][13][14][15][16][17] . All cases had received RT doses ranging from 60 to 80 Gy for various stages and sites of primary HNC.…”

Section: Hyoid Bone Ornmentioning

confidence: 99%

“…The importance of early recognition of hyoid bone involvement was highlighted by Chard et al reporting two cases of HB-ORN in association with carotid pseudoaneurysm and rupture requiring surgical intervention 13 . Treatment modalities reported amongst the 11 cases ranged from conservative management including observation and hyperbaric oxygen to surgical resection and reconstruction.…”

Section: Hyoid Bone Ornmentioning

confidence: 99%

“…The importance of early recognition of hyoid bone involvement was highlighted by Chard et al . reporting two cases of HB‐ORN in association with carotid pseudoaneurysm and rupture requiring surgical intervention.…”

Section: Hyoid Bone Ornmentioning

confidence: 99%

See 2 more Smart Citations

Osteoradionecrosis beyond the jaws: a mini case series and review of the literature

2019

View full text Add to dashboard Cite

Osteoradionecrosis (ORN) of the mandible is a well-known complication of head and neck radiotherapy (RT). In contrast, osteonecrosis of surrounding non-target structures in the craniofacial region is less commonly reported. Various bones within the head and neck are susceptible to ORN and this may present years after initial radiation exposure especially with improving survival rates. We report three cases of ORN involving the hyoid bone and temporal bone, and review the literature regarding numerous bones within the head and neck skeleton that have been affected by ORN.

show abstract

Section: Hyoid Bone Ornmentioning

confidence: 99%

Section: Hyoid Bone Ornmentioning

confidence: 99%

See 1 more Smart Citation

Osteoradionecrosis beyond the jaws: a mini case series and review of the literature

2019

View full text Add to dashboard Cite

show abstract

“…Osteoradionecrosis (ORN) of the hyoid bone is an infrequent and less critical complication, as compared with that of the jaw and thyroid cartilages, associated with chemoradiation treatment for oropharyngeal and laryngeal cancer [ 1 , 2 ]. However, ORN of the hyoid bone sometimes induces severe front neck infection, laryngeal stenosis and carotid rapture [ 3 , 4 ]. Most reports of ORN of the hyoid bone involve small clinical cases, and there has been only one report of a series of CT image studies [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Osteoradionecrosis of the hyoid bone after intra-arterial chemoradiotherapy for oropharyngeal cancer: MR imaging findings

et al. 2017

View full text Add to dashboard Cite

BackgroundOsteoradionecrosis (ORN) of the hyoid bone sometimes induces severe front neck infection and can cause laryngeal stenosis and carotid rupture. Although ORN of the hyoid bone is known to be a complication of chemoradiotherapy for head and neck cancer, there has been no basis for its evaluation. Our purpose is to present the clinical and MR imaging features of ORN of the hyoid bone.MethodsThe study group comprised patients with advanced oropharyngeal cancer treated with targeted intra-arterial cisplatin infusion with concomitant radiotherapy. ORN of the hyoid bone was identified on the basis of decreased signal intensity of the bone marrow on T1WI images. Signal intensity on T2WI images was used to distinguish between inflammation and fibrosis.ResultsA total of 39 pre-treatment MR images and follow-up MR images were reviewed. ORN of the hyoid bone were detected in 30% of patients after treatment, with 23% of them showing inflammation and 7.7% fibrosis. Two patients developed severe neck infection and received antibiotics and underwent surgical intervention by tracheostomy and resection of the hyoid bone.ConclusionOur MR imaging study showed that ORN of the hyoid bone is not particularly rare in patients with oropharyngeal cancer treated with chemoradiotherapy. Clinicians should evaluate images carefully to prevent the development of severe complication due to infection associated with ORN of the hyoid bone.

show abstract