经鼻入路治疗深部颈部感染：病例报告
Management of deep neck infection by a transnasal approach: a case report.
作者信息
Baba Yuh, Kato Yasumasa, Saito Hideyuki, Ogawa Kaoru
出版信息
J Med Case Rep. 2009 Jul 31;3:7317. doi: 10.4076/1752-1947-3-7317.
INTRODUCTION
Deep neck infection is a life-threatening condition, and intravenous antibiotic therapy is preferable in the early stages of the disease. However, in the advanced stages, surgical drainage should be performed. Although several surgical treatment strategies are available, it is necessary to standardize treatment according to the patient's general condition and history.
CASE PRESENTATION
We report the case of a 68-year-old man with a deep neck abscess and with severe diabetes mellitus and inflammation. Computed tomography identified a deep neck infection extending from the level of the epipharynx to that of the hyoid bone. We performed surgical drainage by transnasal endoscopy. The patient exhibited no evidence of either recurrent disease or post-surgical complications within 30 months of follow-up.
CONCLUSIONS
This case report provides evidence that transnasal endoscopic drainage should be recommended as a standard approach in patients with a deep neck abscess and with a severe general condition, diabetes mellitus, and inflammation.
引言
颈部深部感染是一种危及生命的疾病，在疾病早期，静脉抗生素治疗更为可取。然而，在晚期阶段，应进行手术引流。尽管有几种手术治疗策略可供选择，但有必要根据患者的一般状况和病史对治疗进行规范。
病例介绍
我们报告了一例68岁男性患者，患有颈部深部脓肿，伴有严重糖尿病和炎症。计算机断层扫描显示颈部深部感染从会咽部延伸至舌骨水平。我们通过鼻内镜进行了手术引流。在随访的30个月内，患者未出现复发疾病或术后并发症的迹象。
结论
本病例报告提供了证据，表明对于患有颈部深部脓肿且伴有严重一般状况、糖尿病和炎症的患者，应推荐鼻内镜引流作为标准方法。
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