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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Incision and drainage of a retropharyngeal abscess located adjacent to C1 with InstaTrak image guidance.
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Incision and drainage of a retropharyngeal abscess located adjacent to C1 with InstaTrak image guidance.

机译：在InstaTrak图像引导下，邻近C1的咽后脓肿切开引流。

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Abscess formation in the deep neck spaces may occur because of spread of infection from a contiguous area, such as nasal, oral, otitic, or bony structures or direct inoculation secondary to penetrating trauma. Abscesses of the deep neck spaces have many potential complications including arterial erosion, venous thrombosis, caudal extension leading to mediastinitis, pharyngeal rupture with subsequent aspiration and pulmonary abscess, and intra-cranial spread.The widespread use of antimicrobials has helped to curtail these lethal complications but has not eliminated them. Abscesses in the deep neck spaces continue to present clinical challenges, particularly when surgical incision and drainage is required after antibiotics fail. In this setting, incision and drainage allows for faster recovery and fewer complications by both evacuation of pus and identification of the infectious organism for better antibiotic coverage. Depending on the location of the deep neck abscess, different surgical approaches havebeen used for incision and drainage, and each approach carries its own benefits and risks.
机译：颈部深部脓肿的形成可能是由于感染从邻近区域传播而来，例如鼻腔，口腔，耳蜗或骨骼结构，或者是继发于穿透性创伤的直接接种。颈部深部脓肿有许多潜在的并发症，包括动脉糜烂，静脉血栓形成，导致纵隔炎的尾巴扩张，咽部破裂，随后的误吸和肺脓肿以及颅内扩散。广泛使用抗菌药物有助于减少这些致命的并发症。但并没有消除它们。颈部深部脓肿继续带来临床挑战，特别是在抗生素失效后需要手术切口和引流时。在这种情况下，切开和引流可通过排脓和鉴定传染性生物体来实现更快的恢复，并减少并发症，从而更好地覆盖抗生素。根据深颈部脓肿的位置，已采用不同的手术方法进行切口和引流，每种方法都有其自身的优点和风险。

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