Otogenic Deep Neck Abscess:A Rare Complication of Cholesteatoma with Acute Mastoiditis

抗生素發現及使用後，急性乳突炎罕見併發深頸部膿傷﹔在此之前，急性乳突炎較常造成Bezold氏膿傷。我們報導一位19歲男性病人罹患中耳珍珠瘤併發化膿性突炎，側竇栓塞，同側內頸靜脈炎及深頸部膿傷。這種深頸部膿傷的形成路徑迴異於Bezold氏膿傷。電腦斷層，磁振造影及超音波對於發現這類感染起源及路徑各擅勝場亦可互補所短，綜合影像判斷可知局部受感染的內頸靜脈壁溶蝕是導致深頸部膿傷的主因。

關鍵字

乳突炎； Bezold氏膿傷；頸部膿傷；側竇栓塞

並列摘要

Deep neck abscess is a rere complication of acute mastoiditis in the era of antibiotics. In preantibiotic era, Bezold's abscess was the most common cause of the otogenic deep neck abscess. We reported a 19-year-old male with cholesteatoma complicated by acute suppurative mastoiditis, lateral sinus throm-bosis, thrombophlebitis of the ipsilateral internal jugular vein and deep neck abscess formation. The pathway of the deep neck abscess formation is dif-ferent from the classic presentations of Bezold's abscess. Computed tomography, magnetic resonance imaging and ultrasonography, magnetic resonance imaging and ultrasonography were complementary for the detailed demonstration of the origin and the extent of the disease. Segmental mural lysis of the infected internal jugular vein was considered to be responsible for the development of deep neck abscess formation.

並列關鍵字

mastoiditis ； Bezold'S abscess ； neck,abscess ； sinus,thrombosis

國際替代計量

Otogenic Deep Neck Abscess:A Rare Complication of Cholesteatoma with Acute Mastoiditis

全文下載

主題瀏覽