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Management of the airway through cervical faringostoma by radionecrosis
Manejo de la vía aérea a través de faringostoma cervical por radionecrosis
S. Pardo
, S. Trabanco, M.J. Bartolomé, A. Largo
Corresponding author
Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Spain
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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<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>6<span class="elsevierStyleHsp" style=""></span>cm 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. After consulting the surgeons, we decided to introduce the bronchofibroscope directly through the cervical pharyngostome (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) in order to perform the tracheostomy.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pardo S, Trabanco S, Bartolomé MJ, Largo A. Manejo de la vía aérea a través de faringostoma cervical por radionecrosis. 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| 2018 July | 1 | 0 | 1 |
