Adelson Robert T, Murray Alan D
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Miami Fla. School of Medicine, 1504 Bay Rd., #1014, Miami Beach, FL 33139, USA.
Ear Nose Throat J. 2005 Dec;84(12):785-6.
We report the case of a 3-year-old boy who was brought to the emergency department for evaluation of a prolonged upper respiratory infection and diminished neck movement. Computed tomography identified a unilocular abscess extending from the level of C2 inferiorly to the diaphragm at the level of the T9 vertebral body. We successfully treated this transcervical, transthoracic infection surgically via a transoral approach to the retropharyngeal abscess combined with catheter drainage and irrigation of the abscess cavity at a depth of 13 cm. At 25 months of follow-up, the patient exhibited no evidence of recurrent disease or postsurgical complications. In this article, we describe our minimally invasive technique for managing unusual deep-space neck infections in children.
我们报告了一例3岁男孩的病例，该男孩因长期上呼吸道感染和颈部活动受限被送至急诊科。计算机断层扫描显示一个单房脓肿，从C2水平向下延伸至T9椎体水平的膈肌。我们通过经口入路处理咽后脓肿，结合导管引流和对深度为13 cm的脓肿腔进行冲洗，成功地通过手术治疗了这种经颈、经胸感染。在25个月的随访中，患者没有复发病例或术后并发症的迹象。在本文中，我们描述了我们用于处理儿童不寻常的颈部深部间隙感染的微创技术。
