混合性脓性喉膨出：一例罕见的深部颈部感染病例。
Mixed Pyolaryngocele: A Rare Case of Deep Neck Infection.
作者信息
Mahdoufi Rachid, Barhmi Ismail, Tazi Nabil, Abada Redallah, Roubal Mohamed, Mahtar Mohamed
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery,Service d'ORL-CCF, Hospital 20 Aout 1953, CHU IBN ROCHD, Casablanca, Maroc.
出版信息
Iran J Otorhinolaryngol. 2017 Jul;29(93):225-228.
INTRODUCTION
Pyolaryngocele is a very rare and serious complication of laryngocele. It can present as deep neck space infection and mislead the diagnosis. Our aim is to bring this unusual entity to the attention of surgeons and describe its clinical features.
CASE REPORT
We report a case of a 45-year-old male patient with a five-week history of neck swelling, dysphonia, dyspnea and odynophagia. An urgent CT scan showed a mixed pyolaryngocele. The management consisted of a high dose antibiotic and an excision of the residual laryngocele via an external approach.
CONCLUSION
A pyolaryngocele is an unusual complication of laryngocele, which becomes secondarily infected, causing many symptoms. Removing the laryngocele is still the best treatment option to prevent this complication and recurrence.
引言
脓性喉气囊肿是喉气囊肿一种极为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。
病例报告
我们报告一例45岁男性患者，有颈部肿胀、声音嘶哑、呼吸困难和吞咽痛五周病史。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。
结论
脓性喉气囊肿是喉气囊肿的一种不寻常并发症，继发感染后会引发多种症状。切除喉气囊肿仍是预防该并发症及复发的最佳治疗选择。
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