Complicaciones post radioterapia en el área otorrinolaringológicacaso clínico

  1. Chiesa Estomba, Carlos Miguel
  2. Araujo da Costa, Ana Sofía
  3. Rivera Schmitz, Teresa
  4. Martínez Cueto, Pedro
  5. Pérez-Carro Ríos, Adela
  6. Araujo Nores, Jesús
Journal:
Revista ORL

ISSN: 2444-7986,  2444-7986

Year of publication: 2013

Volume: 4

Pages: 128-134

Type: Article

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Abstract

Introduction: Radiotherapy is part of the treatment of oncological pathology of head and neck, being useful as therapeutic and supplementary strategy. It is possible associate to chemotherapeutic or radiosensitizing to enhance their effectiveness as well as radiation protection measures used to prevent overexposure of tissues. However, despite all this there are multiple potential complications secondary to the use of radiotherapy.Materials and Methods: Here we present a series of complications that occurred in the late phase of radiation therapy in 4 patients.Results: A total of 4 patients of which 3 presented the diagnosis of nasopharyngeal carcinoma and one vocal cord carcinoma, which presented complications: critical stenosis of left carotid artery in the cervical cutaneous fistula more radionecrosis of vertebrae C5 and C6, radionecrosis of pre-vertebral muscles and C1 and C2 vertebrae and left carotid artery pseudoaneurysm.Conclusions: In our series the hyperbaric chamber favored the improvement in terms of tissue necrosis, in terms of critical stenosis the patient required anticoagulation, while the pseudoaneurysm required embolization by interventional radiology. So unquestionably the therapeutic effect of radiotherapy in the field of head and neck oncology, but complications because of this should be taken into account when assessing the patient successively.

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