Objective To investigate the possible causes and treatment methods of laryngeal stenosis after radiotherapy following supracricoid partial laryngectomy with cricohyoidoepiglottopexy (SCPL-CHEP). Methods The data of seven patients with laryngeal stenosis after radiotherapy following SCPL-CHEP were analysed retrospectively. All patients were diagnosed with mid-stage or advanced laryngeal carcinoma before surgery, and the pathological type was squamous cell carcinoma. All patients met the requirements for SCPL-CHEP surgery. When laryngeal stenosis was found during the post-surgical follow-up period, patients were immediately given the appropriate treatment according to their conditions. Results All seven patients had laryngeal stenosis. One patient underwent granulation resection using a laryngoscope, four patients underwent granulation removal + low-temperature plasma ablation using a laryngoscope, and two patients underwent laryngeal dehiscence surgery + laryngotracheal T-tube placement. All patients recovered well after surgery, with patent airways. Conclusion Laryngeal stenosis in patients with mid- and late-stage laryngeal carcinoma is one of the rare complications of SCPL-CHEP. Second-stage laryngeal dilatation can be selected according to the patient’s laryngeal stenosis. Most patients with laryngeal stenosis can be extubated completely.
Aims: To describe a rare case presenting with pulsing mass stumbled across the right upper neck.
Presentation of Case: The patient was presented to the outpatient department of ENT due to a pulsing mass stumbled across the right upper neck for half a year. Cervical enhancement CT scan was performed, which disclosed a lesion at the bifurcation of the right carotid artery and possessed insignificant blood supply. Hospitalization was arranged for a full examination, and culminating in a diagnostic resection.
Discussion: This case was challenging for clinicians to differentially diagnose the placeholder at the carotid artery bifurcation, and the pathological results in this case was extremely rare and have never been reported in the literature. Extraocular SGC is strongly associated with Muir–Torre syndrome (MTS), a phenotypic variant of Lynch syndrome and results from mutations in DNA MMR genes. It suggests all patients presenting with sebaceous neoplasms should be screened for MTS.
Conclusion: Our case creates a paradigm for otolaryngologists and oral and maxillofacial surgeons.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.