Yavaş Güler, Kara Gedik Gonca, Çolpan Bahar, Ata Özlem, Öztürk Kayhan, Sarı Oktay
Department of Radiation Oncology, Medical Faculty of Selçuk University, 42080 Meram, Konya, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2015;25(5):310-4. doi: 10.5606/kbbihtisas.2015.59219.
Osteoradionecrosis of the hyoid bone is a rare complication of therapeutic irradiation performed for head and neck cancer. In this article, we present a 52-year-old male patient who admitted with severe odynophagia following chemo-radiotherapy administration for tonsil carcinoma. Fluorine-18-fluorodeoxy-glucose positron emission tomography-computed tomography revealed a metabolic activity in hyoid bone. The pathological findings were consistent with fungal infection and hyoid bone necrosis. Hyoid osteoradionecrosis should be kept in mind in patients with intractable dysphagia following irradiation for head and neck tumors.
舌骨放射性骨坏死是头颈部癌放疗后的一种罕见并发症。在本文中,我们报告了一名52岁男性患者,该患者在因扁桃体癌接受放化疗后出现严重吞咽痛而入院。氟-18-氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描显示舌骨有代谢活性。病理结果与真菌感染和舌骨坏死相符。对于头颈部肿瘤放疗后出现顽固性吞咽困难的患者,应考虑舌骨放射性骨坏死。