Department of Oral and Maxillofacial Surgery, The 252nd Hospital of PLA, Baoding, People's Republic of China.
Department of Oral and Maxillofacial Surgery, The 252nd Hospital of PLA, Baoding, People's Republic of China.
Am J Otolaryngol. 2014 May-Jun;35(3):313-7. doi: 10.1016/j.amjoto.2014.02.005. Epub 2014 Feb 18.
A retropharyngeal abscess (RPA) is an extremely rare entity in adults that has a tendency to spread vertically and cause a mediastinal abscess. Traditionally, immediate aggressive drainage is recommended via a transcervical or transthoracic approach for the treatment of a retropharyngeal abscess with mediastinal extension. Here, we present a case of a retropharyngeal and mediastinal abscess using a transoral negative-pressure catheter drainage approach.
A 24-year-old woman was admitted with a 4-day history of severe sore throat and painful swallowing. Computed tomography identified a retropharyngeal abscess extending to the upper posterior mediastinum. We performed transoral negative-pressure catheter drainage.
The postoperative course was uneventful. The patient reported a rapid improvement in symptoms and had a good tolerance of the catheters in the nasal cavity. At 2 years postoperatively, physical examinations revealed no recurrence or surgical complications.
Transoral negative-pressure catheter drainage is a minimally invasive operation for the treatment of RPA in adults with or without a mediastinal abscess. This method could be recommended as an alternative approach in such cases.
咽后脓肿在成人中极为罕见，其具有纵向扩散并导致纵隔脓肿的倾向。传统上，对于伴有纵隔延伸的咽后脓肿，建议通过经颈或经胸入路进行积极的即刻引流。在这里，我们介绍了一例经口负压导管引流治疗咽后和纵隔脓肿的病例。
一名 24 岁女性因咽痛和吞咽痛 4 天入院。计算机断层扫描发现咽后脓肿延伸至上后纵隔。我们进行了经口负压导管引流。
术后过程顺利。患者报告症状迅速改善，对鼻腔内的导管有良好的耐受性。术后 2 年，体格检查未见复发或手术并发症。
经口负压导管引流是治疗伴有或不伴有纵隔脓肿的成人咽后脓肿的一种微创操作。在这种情况下，该方法可作为一种替代方法推荐。
