舌癌術後に発症した気管気管支軟骨炎例

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  • A Case of Tracheobronchial Chondritis that Developed after Surgical Treatment for Tongue Cancer
  • 臨床 舌癌術後に発症した気管気管支軟骨炎例
  • リンショウ ゼツガン ジュツゴ ニ ハッショウ シタ キカン キカンシ ナンコツエンレイ

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<p>We encountered a case of tracheobronchial chondritis that developed after surgical treatment for tongue cancer and neck abscess.</p><p>The patient was a 55-year-old man with tongue cancer (T3N0M0, stage III), who was treated by right hemiglossectomy, tissue flap reconstruction, right neck dissection and tracheostomy. Due to postoperative dysphagia, laryngeal elevation surgery was performed. Then, 82 days after the operation for tongue cancer, the patient developed a right neck abscess. The abscess resolved with incision and drainage and antibiotic administration, however, intermittent fever persisted. A neck and chest computed tomography showed tracheobronchial wall thickening. We concluded that the patient probably had autoimmune tracheobronchial chondritis. The chondritis improved with prednisolone administration.</p><p>A few similar cases have been reported in the literature. Therefore, we assume that tracheotomy and neck abscess could predispose to the development of autoimmune tracheobronchial chondritis. However, presence of other possiple autoimmune disorder in the patients must be excluded.</p>

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