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Laryngeal chondritis induced by C3–4 osteophyte following supracricoid laryngectomy with cricohyoidoepiglottopexy: report of two cases

Published online by Cambridge University Press:  08 March 2017

Y Seino ,
M Nakayama ,
M Okamoto ,
S Yokobori ,
M Takeda  and
S Miyamoto
Y Seino*
Affiliation:
Department of Otorhinolaryngology-Head & Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
M Nakayama
Affiliation:
Department of Otorhinolaryngology-Head & Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
M Okamoto
Affiliation:
Department of Otorhinolaryngology-Head & Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
S Yokobori
Affiliation:
Department of Otorhinolaryngology-Head & Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
M Takeda
Affiliation:
Department of Otorhinolaryngology-Head & Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
S Miyamoto
Affiliation:
Department of Otorhinolaryngology-Head & Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan
*
Address for correspondence: Dr Yutomo Seino, Department of Otorhinolaryngology-Head & Neck Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 228-8555, Japan. Fax: +81 42 778 8441 E-mail: wonbat21@s3.dion.ne.jp
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Abstract

Objectives:

We have performed supracricoid laryngectomy with cricohyoidoepiglottopexy or with cricohyoidopexy for tumour (T) stage T2 and T3 laryngeal cancer cases and some T4 cases. We report the clinical symptoms and management, using this technique to avoid complications.

Case report:

Among patients undergoing the procedure, two cases manifested laryngeal chondritis following laryngectomy with cricohyoidoepiglottopexy. This complication was caused by C3–4 cervical osteophytes physically contacting the cricoid cartilage. Laryngeal microlaryngoscopy was performed, which revealed white, necrotic tissue in the posterior wall of the pharynx and persistent oedema of the neoglottis.

Conclusions:

When encountering a patient with an excessive osteophyte formation at the level of C3–4, one needs to take extra precautions when undertaking laryngectomy with cricohyoidoepiglottopexy or with cricohyoidopexy.

Keywords

Larynx NeoplasmsLaryngectomyOsteophytesCervical Vertebrae
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 7 , July 2008 , pp. 745 - 749
Copyright
Copyright © JLO (1984) Limited 2008

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