An Unknown Foreign laryngeal Object: an exotic complication of skull base osteoradionecrosis

Stefan Grasl, Christian Wassipaul, Gregor Fischer, Christoph Arnoldner, Stefan Janik*

*Korrespondierende:r Autor:in für diese Arbeit

Publikation: Beitrag in Fachzeitschrift (peer-reviewed)Fallstudie

Abstract

BACKGROUND: Osteoradionecrosis (ORN) of the skull base is a rare complication after head and neck radiation with a broad variety of subsequent complications.

METHODS: A 68-year-old woman with a complex oncological history (right-sided sphenoid meningioma; left-sided neck metastasis of a Cancer of Unknown Primary-CUP) was admitted with a right-sided epi-/ oropharyngeal mass and severe pain exacerbations for further evaluation. CT scan revealed an advanced ORN of the skull base with subsequent abruption of the ventral part of the clivus. This dislocated part of the clivus wedged in the oropharynx for 48 h and then moved towards the larynx, resulting in dyspnea and almost complete airway obstruction.

RESULTS: Due to the dangerous airway situation, an urgent exploration and removal of the dislocated clivus was necessary. After a potential cervical spine instability was ruled out, the patient's airway was initially secured with an awake tracheotomy and the clivus was removed transorally. The tracheostomy tube was removed during the ongoing inpatient stay, and the patient was discharged with significant pain relief.

CONCLUSIONS: The present case illustrates an orphan complication of skull base ORN resulting in a major airway emergency situation.

OriginalspracheEnglisch
Seiten (von - bis)2755-2759
Seitenumfang5
FachzeitschriftEuropean Archives of Oto-Rhino-Laryngology
Jahrgang281
Ausgabenummer5
Frühes Online-Datum21 Feb. 2024
DOIs
PublikationsstatusVeröffentlicht - Mai 2024

ASJC Scopus Sachgebiete

  • Hals-Nasen-Ohrenheilkunde

Fingerprint

Untersuchen Sie die Forschungsthemen von „An Unknown Foreign laryngeal Object: an exotic complication of skull base osteoradionecrosis“. Zusammen bilden sie einen einzigartigen Fingerprint.

Dieses zitieren