急性喉頭蓋炎に続発した披裂部膿瘍例

• 成尾 一彦

  奈良県立医科大学耳鼻咽喉・頭頸部外科学教室

• 宮原 裕

  大阪府立急性期・総合医療センター耳鼻咽喉・頭頸部外科

• 家根 旦有

  奈良県立医科大学耳鼻咽喉・頭頸部外科学教室

• 細井 裕司

  奈良県立医科大学耳鼻咽喉・頭頸部外科学教室

書誌事項

タイトル別名

• A case of arytenoid abscess secondary to acute epiglotitis

抄録

We encountered a rare case of arytenoid abscess secondary to acute epiglottitis. A 63-year-old man was referred to our hospital with a 3-day history of sore throat and a 4-hour history of difficulty in breathing. Flexible laryngoscopy demonstrated severe swelling of the arytenoid region with redness and swelling of the epiglottis. Computed tomography demonstrated a low density area showing a contrast effect in the arytenoid region. This case was diagnosed as having arytenoid abscess secondary to acute epiglottitis. Immediate airway intervention and surgical drainage were performed. A tracheotomy was performed following tracheal intubation by the anesthetist. Surgical drainage was performed under microscopy. Postoperatively, the patient was treated in the intensive care unit. Fortunately, all of the clinical symptoms improved postoperatively. Thirteen days postoperatively, the patient was returned to the previous hospital. When we encounter a case of epiglottitis with swelling of the arytenoids, it is important to consider the possibility of airway intervention or abscess formation requiring drainage.

収録刊行物

• 頭頸部外科

  頭頸部外科 19 (1), 49-53, 2009

  特定非営利活動法人 日本頭頸部外科学会

キーワード

• 喉頭蓋炎
• 披裂部膿瘍
• 気道確保

詳細情報

• CRID: 1390282680257527040
• NII論文ID: 10026426671
• NII書誌ID: AN10374707
• DOI: 10.5106/jjshns.19.49
• ISSN: 1884474X
• ISSN: 1349581X
• Web Site: https://search.jamas.or.jp/link/ui/2009274498
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可