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Osteoradionecrosis of the hyoid presenting as a cause of intractable neck pain following radiotherapy and the role of magnetic resonance image scanning to aid diagnosis

Published online by Cambridge University Press:  31 May 2006

W. K. Smith ,
A. G. Pfleiderer  and
B. Millet
W. K. Smith
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK
A. G. Pfleiderer
Affiliation:
Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK
B. Millet
Affiliation:
Department of Radiology, Edith Cavell Hospital, Peterborough, UK
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Abstract

Osteoradionecrosis of the hyoid has been reported rarely in the worldwide literature. We present the case of a 56-year-old gentleman who presented with intractable neck pain, following surgery and radiotherapy for a T2N2cM0 tongue base carcinoma, to highlight the need to consider osteoradionecrosis of the hyoid rather than recurrence of the carcinoma as the cause of such symptoms. The previously unreported appearance of osteoradionecrosis of the hyoid on a magnetic resonance image (MRI) scan and the use ofthis investigation to aid diagnosis is discussed.

Keywords

Hyoid BoneOsteoradionecrosisMagnetic Resonance Imaging
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 12 , December 2003 , pp. 1003 - 1005
Copyright
© Royal Society of Medicine Press Limited 2003

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