Transcervical Approach in Low Retropharyngeal Abscess-Indication and Outcome

經頸部切開引流手術於低位後咽膿腫之適應症與治療成效

王瑋碩(Wei-Shuo Wang) ； 陳培榕(Peir-Rong Chen) ； 楊妙君(Miao-Chun Yang)

《台灣耳鼻喉頭頸外科雜誌》 51卷3期 (2016/09) Pp. 174-179

https://doi.org/10.6286/2016.51.3.174

摘要

BACKGROUND: The article is to delineate the indication of transcervical approach (TCA) for retropharyngeal abscess (RPA) and its treatment outcome. MATERIALS AND METHODS: Of 8 patients with isolated RPA undergoing TCA, the clinical characteristics and outcome were reviewed. The involved range was defined by image study before the operation. RESULTS: All 8 patients treated with TCA (alone or combining transoral approach) had abscess below upper border of the C3 vertebral body with lateral extension to the adjacent carotid space. They received surgical drainage only one time during hospitalization and recovered well. CONCLUSION: TCA is indicated as a single or combined method in RPA patients when the abscess involves below the upper border of the C3 vertebral body and with lateral extension to the adjacent carotid space.

關鍵字

retropharyngeal abscess ； transcervical approach ； C3 vertebral body

並列摘要

背景：本文主要探討後咽膿腫(retropharyngeal abscess)病人行經頸部(transcervical approach)切開引流手術的適應症及治療成效。方法：共8名單純後咽膿腫病人接受經頸部切開引流手術，回溯病人之臨床特性與治療結果。結果：8名病人之後咽膿腫影響範圍皆在第三節頸椎體的最上緣之下、且影響範圍向外延伸鄰近重要血管，所有病人僅接受一次手術、且皆順利出院。結論：當後咽膿腫影響範圍在第三節頸椎體的最上緣之下、且影響範圍向外延伸鄰近重要血管時，適合以經頸部切開引流手術治療。

並列關鍵字

retropharyngeal abscess ； transcervical approach ； C3 vertebral body（後咽膿腫 ； 經頸部 ； 第三節頸椎體）