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Post‐radiation perichondritis and cartilage necrosis of the larynx
Author(s) -
Mcgovern Francis H.,
FitzHugh J. Slaughter,
Constable William
Publication year - 1973
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197305000-00016
Subject(s) - medicine , larynx , necrosis , radiation therapy , cartilage , lesion , surgery , radiology , anatomy , pathology
Under certain circumstances laryngeal cartilage damage following radiation therapy can take place. Two cases of post‐radiation perichondritis with cartilage necrosis are reported, and the factors predisposing to its development, the methods of treatment, and the techniques of radiation therapy are discussed. The danger of repeated intralaryngeal manipulation in the radiation patient is stressed. The authors advise that T 1 N 0 and T 2 N 0 laryngeal lesion be treated with 6,000 rads over a three to five‐week period. Homogeneity is achieved in the treated volume by employing wedged filters. Surgery is advised in T 3 or larger lesions usually after preoperative cobalt radiation.