원저

인후강농양의 임상적 고찰

추무진1, 신시옥1, 홍성화1, 양승덕1, 김정환1
Moo Jin Choo1, See Ok Shin1, Sung Hwa Hong1, Seung Deok Yang1, Jeong Whan Kim1
Author Information & Copyright
1충북대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Chungbuk National University

© Copyright 1994 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.

Published Online: May 31, 2020

ABSTRACT

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:

  1. Almost patients were adult above 20 years old(80%), most often in 6th decade(50%).

  2. Most common etiology was acute upper respiratory infection(60%). Only one case was caused by odontogenic infection.

  3. 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%).

  4. Three patients had underlying disease, two patients had diabetes mellitus and one had cervical spine tuberculosis.

  5. Computed tomography was valuable for diagnosis, decision of treatment modality, and follow-up of disease progression.

  6. Most common pathogenic organism was hemolytic Streptococcus(41.7%), and mixed infections were observed in 2 cases.

  7. Surgical drainage was done in 7 cases, whereas only antibiotic therapy was done in 3 cases.

Keywords: Retropharyngeal abscess; Treatment modality; Computed tomography


임상이비인후과 학술상 공지


안녕하십니까.

대한이비인후과학회 부산울산경남지부회에서는

회원분들의 학술 연구를 장려하는 의미에서 

2022년도부터 학술상을 신설해 수여하고자 합니다. 

 

임상이비인후과 학술상

1. 2022년에 본 학술지에 게재된 논문중

인용횟수 및 학술적 가치가 높은 연구주제에 대해

편집위원회에서 선정 후 수여

2. 수상자는 논문의 교신저자로 함

3. 시상 - 상장 및 상금 50만원

4. 시상일 - 추후 공지

5. 편집위원회에서 선정하므로 별도의 신청 필요 없음

 

- 관련문의 

 임상이비인후과 편집위원회  jco.hns.1990@gmail.com


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