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混合性脓性喉气囊肿:颈部深部间隙感染的罕见表现。

Mixed pyolaryngocele: Uncommon presentation of deep spaces neck infection.

作者信息

Mahdoufi Rachid, Barhmi Ismail, Khallouq Amine, Abada Redallah, Roubal Mohamed, Mahtar Mohamed

机构信息

ENT Department - Face and Neck Surgery, August Hospital 20, 1953, Casablanca, Morocco.

出版信息

Ann Med Surg (Lond). 2016 Aug 2;10:49-51. doi: 10.1016/j.amsu.2016.07.026. eCollection 2016 Sep.

Abstract

INTRODUCTION

Pyolaryngocele is a very rare and serious complication of laryngocoele. It can present as deep spaces neck infection and mislead the diagnosis. Our aim is to attract the intention of the surgeon to this unusual entity and describe its clinical features.

CASE SUMMARY

We report a case of 45 years old male patient with five-week history of neck swelling, dysphonia, mild dyspnea and odynophagia. An urgent C.T scan showed a mixed pyolaryngocele. The management consisted high dose antibiotic and an excision of the residual laryngocoele via an external approach.

DISCUSSION AND CONCLUSION

A pyolaryngocele is an unusual complication of laryngocoele that becomes secondarily infected causing serious symptoms. Excision of the laryngocoele, still the best treatment option to prevent this complication and recurrence.

摘要

引言

脓性喉气囊肿是喉气囊肿一种非常罕见且严重的并发症。它可表现为颈部深部间隙感染,从而误导诊断。我们的目的是引起外科医生对这一不寻常病症的关注,并描述其临床特征。

病例摘要

我们报告一例45岁男性患者,有颈部肿胀、声音嘶哑、轻度呼吸困难和吞咽痛5周病史。紧急CT扫描显示为混合性脓性喉气囊肿。治疗包括大剂量抗生素治疗以及通过外部入路切除残余的喉气囊肿。

讨论与结论

脓性喉气囊肿是喉气囊肿的一种不寻常并发症,继发感染后会引起严重症状。切除喉气囊肿仍是预防此并发症和复发的最佳治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bc6/4983645/c28c4736365c/gr1.jpg

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