Pterygoid Muscle Necrosis Caused by Radiation and Intra-Arterial Cisplatin Infusion Chemotherapy (RADPLAT): A Case Report

Abstract Introduction: Radiation and intra-arterial cisplatin infusion chemotherapy (RADPLAT) for advanced maxillary sinus cancer has accumulated evidence as a treatment with fewer complications and better 5-year survival rates. In this study, we report a case in which pterygoid muscle necrosis occu...

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Veröffentlicht in:Case Reports in Oncology 2023-01, Vol.16 (1), p.1475-1481
Hauptverfasser: Miyamoto, Kazuhiro, Sato, Mitsuo, Koike, Satoru, Kimura, Takayuki, Abe, Daisuke, Wakasaki, Takahiro, Kitano, Mutsukazu, Yasumatsu, Ryuji
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container_issue 1
container_start_page 1475
container_title Case Reports in Oncology
container_volume 16
creator Miyamoto, Kazuhiro
Sato, Mitsuo
Koike, Satoru
Kimura, Takayuki
Abe, Daisuke
Wakasaki, Takahiro
Kitano, Mutsukazu
Yasumatsu, Ryuji
description Abstract Introduction: Radiation and intra-arterial cisplatin infusion chemotherapy (RADPLAT) for advanced maxillary sinus cancer has accumulated evidence as a treatment with fewer complications and better 5-year survival rates. In this study, we report a case in which pterygoid muscle necrosis occurred 6 months following RADPLAT treatment for maxillary sinus cancer. Case Presentation: The 45-year-old woman had a long history of taking immunosuppressants against rheumatoid arthritis (RA) prior to treatment. Although achieving complete response (CR) to RADPLAT, the patient developed trismus (1 fingerbreadth or less) 6 months following treatment. Abscess formation and recurrence were suspected from the imaging findings; however, the biopsy with endoscopy indicated necrotic tissue. Currently, 18 months have passed without cancer recurrence. Although trismus temporarily improved with rehabilitation, the width of the mouth opening is currently a few millimeters, so the patient can only take liquid food. Conclusion: Pterygoid muscle necrosis should be recognized as a new major complication.
doi_str_mv 10.1159/000534939
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subjects Abscesses
adverse events
Biopsy
Body mass index
Cancer therapies
Care and treatment
Case Report
Case reports
Chemotherapy
Cisplatin
Complications and side effects
Dermatitis
Diagnosis
Dosage and administration
Endoscopy
Exocrine glands
Face
Head & neck cancer
intra-arterial infusion chemotherapy
Intravenous therapy
Leukopenia
maxillary sinus cancer
Mucositis
muscle necrosis
Muscles
Nausea
Necrosis
Nose cancer
Radiation therapy
Radiotherapy
Sinuses
Skin
Stroke
Surgery
Swallowing
Taste disorders
Veins & arteries
title Pterygoid Muscle Necrosis Caused by Radiation and Intra-Arterial Cisplatin Infusion Chemotherapy (RADPLAT): A Case Report
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