Statham Melissa M, Vohra Amit, Mehta Deepak K, Baker Troy, Sarlay Robert, Rutter Michael J
University of Cincinnati School of Medicine, Department of Otolaryngology - Head and Neck Surgery, 231 Albert Sabin Way Cincinnati, OH 45267-0528, USA.
Int J Pediatr Otorhinolaryngol. 2009 Mar;73(3):467-73. doi: 10.1016/j.ijporl.2008.10.019. Epub 2008 Dec 10.
Necrotizing fasciitis is a rare, life-threatening infection. We report a case of necrotizing oropharyngitis caused by Serratia marcescens in a previously immunocompetent 6-year-old male. This necrotizing infection led to a near-total defect of the oropharynx. The wound was managed with daily wound debridement of the patient's oropharynx with 3% hydrogen peroxide, carotid artery coverage with Kaltostat, and pharyngeal packing with iodoform ribbon gauze. Our patient's resultant nasopharyngeal and hypopharyngeal stenoses present challenges for restoration of form and function for voicing and deglutition. We present our experience of managing this child's hypopharyngeal stenosis with a minimally invasive double-balloon dilatation technique.
坏死性筋膜炎是一种罕见的、危及生命的感染。我们报告一例由粘质沙雷菌引起的坏死性口咽炎病例，患者为一名6岁以前免疫功能正常的男性。这种坏死性感染导致口咽几乎完全缺损。通过每天用3%过氧化氢对患者口咽进行伤口清创、用卡托斯塔特覆盖颈动脉以及用碘仿带纱布进行咽腔填塞来处理伤口。我们的患者最终出现的鼻咽和下咽狭窄对口咽发声和吞咽的形态及功能恢复构成了挑战。我们介绍了用微创双球囊扩张技术处理这名儿童下咽狭窄的经验。
