Wound Complications in Head and Neck Squamous Cell Carcinomas After Anti-PD-1 Therapy.

Hwang, Victoria; Mendez, Eduardo; Chow, Laura Q M; Futran, Neal David; Andersen, Peter; Li, Ryan; Divi, Vasu; Rodriguez, Cristina P · Laryngoscope · 2019

case_report · Level V

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Abstract

Immune checkpoint inhibitors have demonstrated activity in recurrent/metastatic head and neck squamous cell cancer, but less is known regarding their long-term sequelae. We describe four patients who, after complete responses to anti-PD-1 therapy, developed complications requiring surgical intervention. Patient 1 is a 57-year-old female whose marked tumor regression exposed some mandibular hardware. Patient 2 is a 39-year-old male who developed an ulcerated buccal lesion with exposed mandible. Patient 3 is a 66-year-old male with craniofacial osteoradionecrosis. Patient 4 is a 71-year-old male who developed an exposed and fractured mandible. All patients successfully underwent surgical intervention and remain disease free. Laryngoscope, 129:E428-E433, 2019.

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