成人咽後膿瘍－兩例報告

Retropharyngeal Abscess in Adults － Reprot of Two Cases

邱國華(Gou-Far Chiou) ； 范盛欽(Shen-Ching Fann) ； 李廸英(Ti-Ying Lee) ； 龔金根(Gin-Jen Gong)

《中華民國耳鼻喉科醫學會雜誌》 27卷4期 (1992/12) Pp. 380-385

https://doi.org/10.6286/1992.27.4.380

摘要

咽後膿瘍（retropharyngeal abscess）在目前已屬少見，尤其成人之病例比嬰孩更為稀罕。本報告1例因上呼吸道感染而引起咽後膿瘍。另1例因誤吞異物，產生咽喉部傷口，導致感染。兩者皆有潛在之全身性疾病，前者為糖尿病，後者是甲狀腺功能低下。治療方面，第1例為單側之較小膿瘍，以頭部懸空後仰姿勢，經口切開引流；第2例則是兩側性之較大的咽後膿瘍，故採取由前頸做切開引流之手術（Dean’s anterior cervical approach）。兩者皆無嚴重併發症，如呼吸道阻塞或侵犯至縱膈腔等之情況發生。

關鍵字

咽後膿瘍 ； 椎前膿瘍

並列摘要

Retropharyngeal abscesses, although uncommon, present a perplexing diagnostic and therapeutic problem. In the adult, the disease is less encountered than in the child. Two adult patients with retropharyngeal abscess are presented, one following upper respiratory tract infection and the other resulting from pharyngeal trauma by fishbone.
In general, therapy is based on a prompt and accurate diagnosis followed by appropriate surgical drainage. Intraoral drainage in the Rose position is adequate for small, well-localized abscess, while extraoral incision and drainage via anterior cervical approach are required for large abscess. We just followed these lines of treatment in our two cases. There were no severe complications such as airway obstruction or mediastinal extension.

並列關鍵字

retropharyngeal abscess ； prevertebral abscess