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Chondroradionecrosis of the Larynx in a Patient with Laryngeal: A Case Report

A. Ahmadi,M. M. Salem,M. Safdarian,S. Ilkhani,Roghaieh Hamidian,Mostafa Cheraghipour,A. Daneshvar,F. Izadi

Published 2017 in Iranian Journal of Otorhinolaryngology

ABSTRACT

Introduction: Actinomycosis of the larynx has been rarely reported in the literature and usually occurs in patients with a history of laryngeal carcinoma and radiation therapy. However, its co-existence with chondroradionecrosis due to radiotherapy is even rarer. The most common site of infection is the cervicofacial region, especially in the submandibular area. Case Report: Here we report a 63-year-old male with a history of chemoradiotherapy because of laryngeal cancer 1 year earlier who presented with laryngeal actinomycosis. After prolonged penicillin-based treatment, the patient underwent thyroid cartilage defect reconstructive surgery because of a laryngocutaneous fistula due to chondroradionecrosis. The diagnosis, work-up, and management of the case are discussed, as well as a review of the literature. Conclusion: Although actinomycotic infection of the larynx is rare, it should be considered in the differential diagnosis of laryngeal complaints, especially in immunocompromised patients.

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