- Cervical Osteomyelitis and Diskitis as a Complication of Neopharyngeal Breakdown: A Multisite Case Series Review
This case series of 11 patients status post laryngectomy/pharyngectomy describes the imaging findings of pharyngoesophageal wall breakdown with subsequent cervical spine infection. The authors show that MRI is more sensitive for spine infection in these patients presenting with neck, fever, and serologic evidence of infection.
- CT of the Larynx: Is an Additional High-Resolution Acquisition Necessary for Diagnostic Accuracy?
The purpose of this study was to determine whether reformatted laryngeal images derived from a standard neck CT acquisition can replace a separate dedicated high-resolution laryngeal acquisition. In 200 patients, the authors found a discrepancy in nearly one-quarter of the interpretations. Both up-staging and down-staging errors were made with the standard neck CT protocol and were critical in defining the optimal therapeutic approach. The authors concluded that the addition of focused images of the larynx after a second contrast bolus and a second acquisition sequence improves the radiologic staging of laryngeal tumors.