Efficacy of spinal needle aspiration for epiglottic abscess in 90 patients with acute epiglottitis

Autor:	Jun Ho Lee, Dong Jin Park, Ju Sup Shim, Ji Won Hong, Myung Gu Kim, S. G. Yeo, Taek Hee Kim, Sun Gon Kim
Rok vydání:	2009
Předmět:	Adult Male medicine.medical_specialty Epiglottis Hydrocortisone Laryngoscopy Epiglottitis macromolecular substances Suction Metronidazole Humans Medicine Infusions Intravenous Abscess Rachis Acute epiglottitis medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Combined Modality Therapy Anti-Bacterial Agents Cephalosporins Surgery Airway Obstruction Radiography Airway Compromise Fine-needle aspiration medicine.anatomical_structure Otorhinolaryngology Needles Anesthesia Acute Disease Female business
Zdroj:	Acta Oto-Laryngologica. 129:760-767
ISSN:	1651-2251 0001-6489
Popis:	Patients with epiglottic abscesses showed more severe symptoms than those with acute epiglottitis and were at increased risk of airway compromise. All 11 patients with epiglottic abscesses underwent spinal needle aspiration; all were cured without severe complications. These findings indicate that spinal needle aspiration is both safe and effective in patients with epiglottic abscesses.Acute epiglottitis is a disease that may become serious or even fatal because of sudden upper airway obstruction. An epiglottic abscess may result from a coalescent epiglottic infection due to acute epiglottitis or secondary infection of an epiglottic mucocele. There have been few reports comparing acute epiglottitis with epiglottic abscess. We therefore assessed the clinical characteristics of each condition, as well as the efficacy of spinal needle aspiration and drainage of epiglottic abscesses.We retrospectively reviewed the records of 90 hospitalized patients diagnosed with acute epiglottitis and epiglottic abscess by flexible nasopharyngolaryngoscopy between March 2006 and February 2008. All patients were treated with medication; in addition, those with epiglottic abscess underwent spinal needle aspiration.Of 90 patients, 79 had acute epiglottitis and 11 had epiglottic abscesses. Acute epiglottitis was most common in May (16.5%) and epiglottic abscesses were most common in June (27.3%). The most common symptoms were sore throat (91.1%), dysphagia (38.9%), voice change (33.3%), and dyspnea (16.7%). All patients were treated with antibiotics and steroids. The mean length of hospitalization was 5 days. No patient required a tracheostomy or orotracheal intubation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::22dde6d54fca835d9e1eee1e9eef40e5 https://doi.org/10.1080/00016480802369302 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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