Hyoid osteoradionecrosis accompanied by candida infection

Abstract

Osteoradionecrosis of the hyoid bone is a rare complication of therapeutic irradiation performed for head and neck cancer. In this article, we present a 52-year-old male patient who admitted with severe odynophagia following chemo-radiotherapy administration for tonsil carcinoma. Fluorine-18-fluorodeoxy-glucose positron emission tomography-computed tomography revealed a metabolic activity in hyoid bone. The pathological findings were consistent with fungal infection and hyoid bone necrosis. Hyoid osteoradionecrosis should be kept in mind in patients with intractable dysphagia following irradiation for head and neck tumors.

Osteoradionecrosis beyond the jaws: a mini case series and review of the literature

“…Bhatia et al . described HB‐ORN in a patient who had received two‐dimensional RT, whereas three‐dimensional conformal RT had been used in the case reported by Yavas. The current reported case was via IMRT and is the first reported case associated with this novel RT system to the best of our knowledge.…”

“…Hyoid bone ORN is a rare entity described in only 11 patients within the otolaryngology literature (Table ). All cases had received RT doses ranging from 60 to 80 Gy for various stages and sites of primary HNC.…”