PT  - JOURNAL ARTICLE
AU  - Bhatt, Alok A.
AU  - Vibhute, Prasanna
AU  - Wu, Xin Cynthia
AU  - Escott, Edward J.
AU  - Chung, Charlotte
AU  - Rhyner, Patricia A.
TI  - Cervical Osteomyelitis and Diskitis as a Complication of Neopharyngeal Breakdown: A Multisite Case Series Review
AID  - 10.3174/ajnr.A8042
DP  - 2023 Nov 09
TA  - American Journal of Neuroradiology
4099  - http://www.ajnr.org/content/early/2023/11/09/ajnr.A8042.short
4100  - http://www.ajnr.org/content/early/2023/11/09/ajnr.A8042.full
AB  - SUMMARY: Laryngectomy and pharyngectomy are surgical options for advanced laryngeal or pharyngeal squamous cell carcinoma. Cervical osteomyelitis-diskitis, occurring when there is dehiscence of the posterior neopharyngeal wall, is an uncommon complication of laryngopharyngectomy. This case series describes imaging findings of pharyngoesophageal wall breakdown with subsequent cervical spine infection and demonstrates that most of these patients had undergone prior esophageal or neopharyngeal dilations for benign posttreatment stricture. Neck pain, fever, or serologic evidence of infection should prompt careful evaluation for osteomyelitis-diskitis and assessment for neopharyngeal breakdown and sinus tract formation, especially in the postdilation setting.SCCAsquamous cell carcinoma