A rare case report of laryngopharyngeal polyp formation following anterior cervical discectomy and fusion (ACDF)

BMC Musculoskeletal Disorders

Lei He¹  Xiucheng Li¹  Zuo Lv¹  Wei He¹  Xuerong Chen¹ 

[1] Department of Orthopaedics, Shaoxing People’s Hospital (Shaoxing Hospital, Zhejiang University School of Medicine)Shaoxing, No. 568, Zhongxing North Road, Shaoxing, 312000, Zhejiang, People’s Republic of China;

关键词: Laryngopharyngeal polyp;    Anterior cervical discectomy and fusion (ACDF);    Esophageal fistula;    Internal fixation removal;    Polypectomy;   

DOI  :  10.1186/s12891-020-03608-4

来源: Springer

【 摘 要 】

BackgroundAnterior Cervical Discectomy and Fusion (ACDF) has been regarded as the “gold standard” treatment of cervical spondylosis. Though it has good outcomes, many complications still exist, such as loss of fixation, degeneration of adjacent segments, dysphagia and pharyngeal perforation. In view of current literature, this study is the first to report a case of laryngopharyngeal polyp following ACDF.Case presentationA 63 year old male patient suffered from cervical spine hyperextension after trauma accompanied by numbness of the hands and decreased muscle strength in both upper limbs. Anterior cervical fusion surgery was performed in our hospital, after which the patient’s upper limb numbness disappeared and muscle strength returned to normal. In the fifth month after surgery, the patient developed a sore throat and dysphagia. Symptoms gradually worsened, and the patient was hospitalized four times, subsequently undergoing tracheotomy, internal fixation removal, and polypectomy. The patient’s pronunciation, breathing, and swallowing functions returned to normal, and the incision healed. After a one-year follow-up, the polyp did not recur.ConclusionsLaryngopharyngeal polyp formation following ACDF has yet to be reported in literature. By excluding esophageal fistula as soon as possible, removing internal fixation and polypectomy serves as the best treatment in relieving patient symptoms.

【 授权许可】

CC BY