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[Lingual necrosis after neck irradiation]
1Service d'ORL et de Chirurgie Cervico-Faciale, Hôpitaux Universitaires de Strasbourg, Hautepierre.
Summary
Lingual necrosis, a rare condition, can occur after radiotherapy. Early diagnosis and Doppler ultrasound monitoring of neck vessels are crucial for managing this arterial complication.
Area of Science:
- Vascular pathology
- Oncology
- Radiotherapy complications
Background:
- Lingual necrosis is a rare clinical presentation.
- Radiotherapy can accelerate atherosclerosis, leading to arterial complications.
- Horton's disease is a primary differential diagnosis for lingual necrosis.
Observation:
- The authors present a case of lingual necrosis.
- The necrosis was observed during the follow-up period after irradiation therapy.
Findings:
- Irradiation is identified as a potential cause of lingual necrosis.
- The mechanism involves accelerated atherosclerosis due to radiotherapy.
- Doppler-pulse supervision of neck vessels is recommended.
Implications:
- Early detection and management of radiation-induced arterial complications are vital.
- Proactive monitoring can prevent severe outcomes associated with lingual necrosis.
- This case highlights the importance of considering radiotherapy as an etiology for lingual necrosis.