Head and Neck Mycetoma
SIRIPORNCHAI SUPANAKORN, M.D.*, ADISORN PATRADUL, M.D.***, AMNUAY CUTCHA V AREE, M.D.* SANUN RUNGRUXSIRIVORN, M.D.**, WINAI WADWONGTHAM, M.D.*,
Affiliation : * Department of Otolaryngology, ** Department of Pathology, *** Department of Orthopedics, Faculty of Medicine, Chulalongkom University, Bangkok 10330, Thailand. t Presented at the Thai Physicians Association of America-TPAA meeting, Melia Hotel, Hua-Hin, Thailand, July 4, 1996.
Abstract Two cases of eumycotic mycetomas in the head and neck region are reported. The first case is the localized mycetoma which involved only the soft tissue of the neck. It was completely excised and the patient needed no further treatment. In the second case, the lesion extensively involved the structures in the parapharyngeal space, submandibular space and carotid sheath. The upper limit is the skull base. The patient was treated by combination of wide excision with radial forearm flap and antifungal agents, however, the prognosis is fair.
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