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Recurrent Laryngeal Edema Imitating Angioedema Caused by Dislocated Screw after Anterior Spine Surgery
Joint Authors
Wójtowicz, Piotr
Szafarowski, Tomasz
Migacz, Ewa
Krzeski, Antoni
Source
Case Reports in Otolaryngology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
The anterior cervical spine surgery is a common procedure to stabilize vertebrae damaged by various diseases.
The plates and screws are usually used in the spine fixation.
This kind of instrumentation may detach from the bones which is a rare but well-known complication.
A 77-year-old male presented to the otorhinolaryngology department with throat pain, choking, and dysphagia.
At first the angioedema was diagnosed and he was treated conservatively.
The endoscopy revealed laryngeal edema, being more defined on the right side with right vocal fold paresis.
CT scans showed the stabilizing plate with two screws attached tightly and the back-out of the third screw toward soft tissue of the neck.
In the meantime, his condition deteriorated and he needed tracheotomy.
In few days the surgical removal of the dislocated screw was performed successfully.
Although two-month follow-up reported no obstruction of the larynx, the vocal folds paresis with gradual functional improvement was observed.
Long-term complication of anterior spine surgery sometimes may suggest laryngeal angioedema at first.
If the conservative treatment is ineffective and there is a history of anterior spine surgery, the clinicians should consider the displacement of the plate or screws in differential diagnosis.
American Psychological Association (APA)
Wójtowicz, Piotr& Szafarowski, Tomasz& Migacz, Ewa& Krzeski, Antoni. 2015. Recurrent Laryngeal Edema Imitating Angioedema Caused by Dislocated Screw after Anterior Spine Surgery. Case Reports in Otolaryngology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059654
Modern Language Association (MLA)
Wójtowicz, Piotr…[et al.]. Recurrent Laryngeal Edema Imitating Angioedema Caused by Dislocated Screw after Anterior Spine Surgery. Case Reports in Otolaryngology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1059654
American Medical Association (AMA)
Wójtowicz, Piotr& Szafarowski, Tomasz& Migacz, Ewa& Krzeski, Antoni. Recurrent Laryngeal Edema Imitating Angioedema Caused by Dislocated Screw after Anterior Spine Surgery. Case Reports in Otolaryngology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059654
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059654