Management of the airway through cervical faringostoma by radionecrosis

Pardo, S.; Trabanco, S.; Bartolomé, M.J.; Largo, A.

doi:10.1016/j.redare.2017.09.003

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In 2015, she was diagnosed with oropharyngeal carcinoma (T2N0M0), and received 33 radiotherapy sessions. One year later, a cervical mass with a necrotic site was detected, and CT angiography showed myositis with ulceration and loss of soft tissues and thrombosis at the origin of the right carotid artery; the jugular vein was not visualised. In view of the poor evolution and enlargement of the 6×6cm opening communicating the pharynx with the exterior, it was decided to close the defect using a pedicle flap. The preoperative evaluation showed extensive cervical and mandibular fibrosis, trismus that severely limited buccal opening and cervical extension, with direct exposure of the pharyngo-laryngeal structures. 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ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 64. Issue 10.

Pages 605 (December 2017)

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