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초음파 유도하 중심정맥 카테터를 이용한두경부 농양의 배농 1예

Successful Control of Head and Neck Abscess with Ultrasound-Guided Central Venous Catheter Insertion : Report of a Case

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초록

Deep neck infection is an infectious disease that involves in several parts of the neck spaces. It can be accompanied by severe complications such as airway obstruction, deep vein thrombosis and sepsis. Therefore, proper management at initial step is essential for morbidity of patients. Surgical treatment is indispensable in the case of large amount of abscess formation, no response to antibiotic treatment, or poor clinical progression despite of empirical antibiotics therapy. However, a surgical approach can cause not only the injury of carotid artery, jugular vein, cranial nerve, esophagus, salivary gland but also scar formation of skin. We report a case of a 36-year-old female patient successfully treated deep neck infection with ultrasound-guided central venous catheter insertion without scar.

Abstract

Deep neck infection is an infectious disease that involves in several parts of the neck spaces. It can be accompanied by severe complications such as airway obstruction, deep vein thrombosis and sepsis. Therefore, proper management at initial step is essential for morbidity of patients. Surgical treatment is indispensable in the case of large amount of abscess formation, no response to antibiotic treatment, or poor clinical progression despite of empirical antibiotics therapy. However, a surgical approach can cause not only the injury of carotid artery, jugular vein, cranial nerve, esophagus, salivary gland but also scar formation of skin. We report a case of a 36-year-old female patient successfully treated deep neck infection with ultrasound-guided central venous catheter insertion without scar.

참고문헌 (8)

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  4. Osborn TM, "Deep space neck infection: principles of surgical management", Oral Maxillofac Surg Clin North Am, 20, pp.353~365 (2008)
  5. Hyun SY, "Closed suction drainage for deep neck infections", J Craniomaxillofac Surg, 42, pp.751~756 (2014)
  6. Ochi K, "US-guided drainage of deep neck space abscess", Acta Otolaryngol Suppl, 522, pp.120~123 (1996)
  7. Yeow KM, "US-guided needle aspiration and catheter drainage as an alternative to open surgical drainage for uniloculated neck abscesses", J Vasc Interv Radiol, 12, pp.589~594 (2001)
  8. Kim SG, "The effect of pig-tail catheter in deep neck abscess or cyst", J Clinical Otolaryngol, 9(1), pp.170~176 (1998)

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