深頸部膿瘍症例の臨床的検討

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タイトル別名
  • Deep neck abscess: A retrospective review of 31 cases

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Between 2002 and 2006, 31 cases of deep neck abscess were treated with surgical drainage in our hospital. In the 7 patients with diabetes mellitus, the duration of admission was longer than that of the patients without diabetes mellitus. It was considered that special care is needed in the treatment of patients with diabetes mellitus. In 5 cases, the deep neck abscess extended to the mediastinum. The duration of admission in these 5 cases was longer than that of other cases. Therefore, it was considered that the most important point is to prevent the spread of infection, especially downward into the mediastinum. In the cervical approach, it is essential to drain the abscess from the pre-tracheal space, pen-vascular space, and pre-visceral space. For mediastinal abscesses, thoracoscopic drainage with collaboration by thoracic surgeons is safe and effective. It is safe to perform tracheotomy with surgical drainage. Computed tomography was very useful in both diagnosis and conducting postoperative observation. We consider that early surgical drainage and intravenous administration of appropriate antibiotics is essential for the treatment of deep neck abscess.

収録刊行物

  • 頭頸部外科

    頭頸部外科 17 (2), 167-171, 2007

    特定非営利活動法人 日本頭頸部外科学会

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