Skull Base 2010; 20(4): 289-292
DOI: 10.1055/s-0030-1249244
CASE REPORT

© Thieme Medical Publishers

Reconstruction of a Nasopharyngeal Defect from Cervical Spine Osteoradionecrosis

Kiran Kakarala1 , 4 , Jeremy D. Richmon5 , Marlene L. Durand2 , Lawrence F. Borges3 , Daniel G. Deschler1 , 4
  • 1Department of Otolaryngology, Division of Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts
  • 2Department of Medicine, Division of Infectious Disease, Harvard Medical School, Boston, Massachusetts
  • 3Neurosurgical Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
  • 4Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts
  • 5Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Surgery, Johns Hopkins, Baltimore, Maryland
Further Information

Publication History

Publication Date:
11 March 2010 (online)

ABSTRACT

Osteoradionecrosis of the cervical spine is a rare complication of radiation treatment of head and neck tumors that requires a multidisciplinary approach to management and reconstruction. The case of a 57-year-old man with osteoradionecrosis of the cervical spine secondary to radiation for metastatic hepatocellular carcinoma is presented. Operative debridement of the necrotic bone was performed and the nasopharyngeal soft tissue defect was reconstructed with a radial forearm free flap. The management and reconstruction options for osteoradionecrosis of the cervical spine are discussed.

REFERENCES

Daniel G Deschler, M.D. 

Massachusetts Eye and Ear Infirmary

243 Charles Street, Boston, MA 02114

Email: daniel_deschler@meei.harvard.edu