Transoral negative-pressure catheter drainage of a retropharyngeal and mediastinal abscess
| Autor: | Shu-jun Chen, Xiao-xian Han |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Nasal cavity
medicine.medical_specialty Catheters Young Adult Swallowing Catheter drainage medicine Sore throat Mediastinal Diseases Humans Minimally Invasive Surgical Procedures Transthoracic approach Mouth business.industry Retropharyngeal abscess medicine.disease Retropharyngeal Abscess Abscess Surgery Mediastinal abscess medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Drainage Female Radiology medicine.symptom business Posterior mediastinum |
| Zdroj: | American journal of otolaryngology. 35(3) |
| ISSN: | 1532-818X |
| Popis: | Purpose A retropharyngeal abscess (RPA) is an extremely rare entity in adults that has a tendency to spread vertically and cause a mediastinal abscess. Traditionally, immediate aggressive drainage is recommended via a transcervical or transthoracic approach for the treatment of a retropharyngeal abscess with mediastinal extension. Here, we present a case of a retropharyngeal and mediastinal abscess using a transoral negative-pressure catheter drainage approach. Patients and methods A 24-year-old woman was admitted with a 4-day history of severe sore throat and painful swallowing. Computed tomography identified a retropharyngeal abscess extending to the upper posterior mediastinum. We performed transoral negative-pressure catheter drainage. Results The postoperative course was uneventful. The patient reported a rapid improvement in symptoms and had a good tolerance of the catheters in the nasal cavity. At 2 years postoperatively, physical examinations revealed no recurrence or surgical complications. Conclusions Transoral negative-pressure catheter drainage is a minimally invasive operation for the treatment of RPA in adults with or without a mediastinal abscess. This method could be recommended as an alternative approach in such cases. |
| Databáze: | OpenAIRE |
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