Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
임상

결핵성 인두후농양 1례

김상현1, 서정민1, 한규철1, 정덕희1
Sang Hyun Kim1, Jeong Min Seo1, Gyu Cheol Han1, Duck Hee Chung1
1국립의료원 이비인후과
1Department of Otolaryngology, National Medical Center, Seoul, Korea

© Copyright 1997 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

Retropharyngeal abscess still occurs despite the advent of antibiotics and may result in significant morbidity or mortality. It divides into “acute” or “chronic” according to clinical course.

Chronic retropharyngeal abscess develops practically always due to tuberculosis of cervical vertebrae. But tuberculosis abscess in retropharyngeal space is rare. The retropharyngeal tuberculosis abscess accounts for from 1% to 3.4% of all the retropharyngeal abscess. The treatment of retropharyngeal tuberculosis abscess consists of surgical drainage with intraoral approach or anterior cervical approach accompanied by antituberculosis medication.

Recently, the authors experienced the 39 year-old male patient who had been treated for pulmonary tuberculosis. He was admitted with swallowing difficulty for 1 month and protrusion of posterior pharyngeal wall on left side. There was 6 X 4 cm sized, tender, soft neck mass on the left mid jugular area. He was diagnosed as a retropharyngeal tuberculosis abscess. So we treated him with surgical drainage and antituberculous medication effectively. We report it with literature review.

Keywords: Retropharyngeal space; Tuberculosis; Abscess