Ochi K, Ogino S, Fukamizu K, Yazaki H, Ohashi T, Ashida H, Takeyama I
Department of Otorhinolaryngology, St. Marianna University School of Medicine, Kawasaki, Japan.
Acta Otolaryngol Suppl. 1996;522:120-3.
Infection of oropharyngeal or upper airway origin may extend to potential spaces formed by fascial planes of the cervical area. These space infections have been greatly reduced by modern antibiotic therapy. However, serious complications continue to occur. An 18-year-old man who presented with neck mass was admitted and treated. He underwent ultrasonically guided drainage procedure using Percuflex drainage catheter within 6 h of his arrival. He was discharged from the hospital 10 days later. Although it is still thought that early open surgical drainage is the most appropriate method for treatment of deep cervical abscess, early treatment with a drainage catheter such as Percuflex may replace surgery. Life threatening complications can thus be avoided with good cosmetic results and rapid recovery.
口咽或上呼吸道源性感染可能蔓延至由颈部筋膜平面形成的潜在间隙。现代抗生素疗法已使这些间隙感染大幅减少。然而，严重并发症仍有发生。一名18岁颈部肿物患者入院接受治疗。他在抵达后6小时内接受了使用Percuflex引流导管的超声引导下引流操作。10天后他出院了。尽管目前仍认为早期开放手术引流是治疗深部颈部脓肿的最合适方法，但使用Percuflex等引流导管进行早期治疗可能会取代手术。这样既能避免危及生命的并发症，又能获得良好的美容效果并实现快速康复。
