인후강농양의 임상적 고찰
Published Online: May 31, 2020
The retropharyngeal abscess have largely been considered to be a disease of infancy, usually resulting from abscessed lymph nodes draining infections of the ears, nose, or throat. Because of their relative rarity and specific anatomical relationship, the retropharyngeal abscess may lethal due to mediastinitis, carotid artery rupture or sepsis despite appropriate antibiotics therapy and prompt surgical drainage.
Authors observed ten patients(male ; 6, female ; 4) of retropharyngeal abscess admitted in Chungbuk National University Hospital from January 1992 to January 1994. They were evaluated by retrospective clinical analysis.
The results were as follows:
Almost patients were adult above 20 years old(80%), most often in 6th decade(50%).
Most common etiology was acute upper respiratory infection(60%). Only one case was caused by odontogenic infection.
Chief complaints were sore throat(80%), swallowing difficulty(80%), and progressive neck swelling(70%). Associated symptoms and signs were fever(50%), voice·change(50%), otalgia(30%), trismus(30%) and dyspnea(10%).
Three patients had underlying disease, two patients had diabetes mellitus and one had cervical spine tuberculosis.
Computed tomography was valuable for diagnosis, decision of treatment modality, and follow-up of disease progression.
Most common pathogenic organism was hemolytic Streptococcus(41.7%), and mixed infections were observed in 2 cases.
Surgical drainage was done in 7 cases, whereas only antibiotic therapy was done in 3 cases.