To the Editor We congratulate D’Souza and colleagues on their article, “Cervical Spine Spondylodiscitis After Esophageal Dilation in Patients With a History of Laryngectomy or Pharyngectomy and Pharyngeal Irradiation,”1 for bringing attention to a rare but potentially devastating complication of esophageal dilation in patients with postradiation head and neck cancer. We have observed similar events in our patients at the University of Pittsburgh.
Govil N, Schmitt NC, Kim S. Cervical Osteomyelitis After Pharyngeal Surgical Manipulation. JAMA Otolaryngol Head Neck Surg. 2016;142(11):1130. doi:10.1001/jamaoto.2016.1837