RT Journal Article
SR Electronic
T1 Cervical Osteomyelitis and Diskitis as a Complication of Neopharyngeal Breakdown: A Multisite Case Series Review
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1418
OP 1420
DO 10.3174/ajnr.A8042
VO 44
IS 12
A1 Bhatt, Alok A.
A1 Vibhute, Prasanna
A1 Wu, Xin Cynthia
A1 Escott, Edward J.
A1 Chung, Charlotte
A1 Rhyner, Patricia A.
YR 2023
UL http://www.ajnr.org/content/44/12/1418.abstract
AB Laryngectomy and pharyngectomy are surgical options for advanced laryngeal or pharyngeal squamous cell carcinoma. Cervical osteomyelitis-diskitis, occurring when there is dehiscence of the posterior neopharyngeal wall, is an uncommon complication of laryngopharyngectomy. This case series describes imaging findings of pharyngoesophageal wall breakdown with subsequent cervical spine infection and demonstrates that most of these patients had undergone prior esophageal or neopharyngeal dilations for benign posttreatment stricture. Neck pain, fever, or serologic evidence of infection should prompt careful evaluation for osteomyelitis-diskitis and assessment for neopharyngeal breakdown and sinus tract formation, especially in the postdilation setting.SCCAsquamous cell carcinoma