증례

A Case of Internal Jugular Vein Thrombophlebitis with Deep Neck Abscess Treated by Debridement of Internal Jugular Vein and Vacuum-assisted Closure Therapy

Sung Ho Yoon1, Seong Min Jin1, Tae Gu Kang1, Dong Hoon Lee1,*
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1Department of Otorhinolaryngology-Head & Neck Surgery, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun, Korea
*교신저자: 이동훈, 58128 전남 화순군 화순읍 서양로 322 전남대학교 의과대학 전남화순병원 이비인후과학교실 전화: (061) 379-8190·전송: (061) 379-7761 E-mail: leen3l@hanmail.net

© Copyright 2018 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Jan 02, 2018; Revised: Apr 03, 2018; Accepted: May 08, 2018

Published Online: May 31, 2020

ABSTRACT

Internal jugular vein (IJV) thrombophlebitis is a rare complication of deep neck abscess. A 55-year-old male was diagnosed with retropharyngeal and mediastinal abscesses. In spite of treatment with surgical drainage and antibiotics, his deep neck abscess was aggravated and there was newly developed diffuse necrosis of the right IJV. We performed surgical drainage again with closure of the fistula on the posterior pharyngeal wall caused by the neck abscess and applied vacuum-assisted closure therapy. However, the patient’s condition deteriorated. Therefore, we decided to perform debridement of the necrotic tissue in the right IJV and ligate the vein. After that, intravenous antibiotics and vacuum-assisted closure therapy were continued and the patient was successfully treated. In case of deep neck abscess accompanied by IJV thrombophlebitis, ligation of the IJV and removal of the causative necrotic tissue would be effective. (J Clinical Otolaryngol 2018;29:104-108)

Keywords: Deep neck abscess; Internal jugular vein; Thrombophlebitis; Vacuum-assisted closure; Surgical procedure