Document Detail

Case of three delayed complications of radiotherapy: bilateral vocal cord immobility, esophageal obstruction and ruptured pseudoaneurysm of carotid artery.
MedLine Citation:
PMID:  19117708     Owner:  NLM     Status:  MEDLINE    
We report the first case of three delayed complications following irradiation for laryngeal carcinoma: bilateral vocal cord immobility, obstruction of esophagus and spontaneously ruptured pseudoaneurysm of common carotid artery. Medial fixation of bilateral vocal cords and stenosis of cervical esophagus were noted at 28 years after radiotherapy. Spontaneous rupture of a pseudoaneurysm bulging into the hypopharynx and obstruction of the esophagus occurred at 35 years after irradiation. The life-threatening hemorrhage was successfully treated by microcoil embolization of the common carotid artery. The relationship between these complications and irradiation is also discussed.
Yumiko Maruyama; Kazunori Arai; Shigeru Hoshida; Kenzi Yoneda; Mitsuru Furukawa; Tomokazu Yoshizaki
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-12-30
Journal Detail:
Title:  Auris, nasus, larynx     Volume:  36     ISSN:  1879-1476     ISO Abbreviation:  Auris Nasus Larynx     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-06-03     Completed Date:  2009-08-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708170     Medline TA:  Auris Nasus Larynx     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  505-8     Citation Subset:  IM    
Department of Otolaryngology-Head and Neck Surgery, Kurobe City Hospital, 1108-1 Mikkaichi, Kurobe, Toyama 938-8502, Japan.
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MeSH Terms
Aneurysm, False / diagnosis,  etiology*
Carcinoma / radiotherapy*
Carotid Artery, Common
Embolization, Therapeutic / instrumentation
Esophageal Stenosis / etiology*
Hemorrhage / etiology,  therapy
Laryngeal Neoplasms / radiotherapy*
Nasopharynx / pathology
Radiation Injuries / complications*
Rupture / etiology
Time Factors
Tomography, X-Ray Computed
Ultrasonography, Doppler
Vocal Cord Paralysis / etiology*

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