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Case Reports in Otolaryngology
Volume 2014, Article ID 425724, 4 pages
http://dx.doi.org/10.1155/2014/425724
Case Report

Late Prevertebral and Spinal Abscess following Chemoradiation for Laryngeal Squamous Cell Carcinoma

1Department of Otolaryngology & Head and Neck Surgery, Soroka University Medical Center, Ben Gurion University of the Negev, Rager Avenue, 84101 Beer-Sheva, Israel
2Department of Radiology, Soroka University Medical Center, Ben Gurion University of the Negev, 84101 Beer-Sheva, Israel

Received 1 November 2013; Accepted 25 December 2013; Published 19 February 2014

Academic Editors: C. F. Hwang and S. Ulualp

Copyright © 2014 Jawad Hindy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Advanced primary supraglottic tumors (i.e., T3 or T4) have traditionally been treated surgically and postoperative radiotherapy. In the last 2 decades, some patients were treated with chemoradiation avoiding surgery. Case Report. We describe a 55-year old female who presented with respiratory distress and paraplegia seven years after treatment for a T3N0M0 supraglottic squamous cell carcinoma. CT scan showed prevertebral and intraspinal air descending from C4 to D3 vertebras. Epidural and prevertebral abscesses were confirmed by neck exploration. Necrosis was observed in the retropharyngeal, prevertebral, and vertebral tissues. Conclusion. Prevertebral and spinal abscess may result from chemotherapy and radiotherapy to the head and neck. Physicians caring for head and neck cancer patients treated with chemotherapy and radiation should be aware of this rare severe complication.