直接显微镜检查引发罕见的路德维希咽峡炎并发症。
Ludwig's angina as an extremely unusual complication for direct microlaryngoscopy.
机构信息
Department of Otolaryngology, Hospital Universitario Central de Asturias, c/Valdés 10, Oviedo Asturias, Spain.
出版信息
Am J Otolaryngol. 2010 Mar-Apr;31(2):117-9. doi: 10.1016/j.amjoto.2008.09.013. Epub 2009 Mar 26.
BACKGROUND
An extremely rare case that to our knowledge has not been reported before is described, in which a patient had a Ludwig's angina as a complication of direct microlaryngoscopy.
METHODS
We report a Ludwig's angina after a direct microlaryngoscopy for a Reinke's edema, due to erosion on the internal face of the mandible produced by compression of the laryngoscope.
RESULTS
The patient underwent placement of 2 drainages, intraoral and cervical, and several incisions on the floor of the mouth, with intravenous corticosteroids and antibiotics and with resolution of the illness without performing tracheostomy.
CONCLUSIONS
Ludwig's angina is an extremely rare complication of microlaryngoscopy, but it is potentially life-threatening. Early diagnosis and treatment resulted in survival of the patient without complications.
背景
我们描述了一个极为罕见的病例，据我们所知，此前尚未有报道，即患者在直接喉镜检查后出现路德维希咽峡炎并发症。
方法
我们报告了一例因压迫喉镜导致下颌骨内侧面侵蚀而发生的路德维希咽峡炎，该患者因 Reinke 水肿而行直接喉镜检查。
结果
患者行 2 处引流（口腔内和颈部）和口底多处切开，静脉内给予皮质类固醇和抗生素，疾病得到缓解，无需行气管切开术。
结论
路德维希咽峡炎是直接喉镜检查的一种极为罕见的并发症，但它具有潜在的致命性。早期诊断和治疗使患者得以存活且无并发症。
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