- 期刊
Cholesteatoma Complicated with a Neck Abscess of Posterior Neck and a Duro-cutaneous Fistula - Case Report
膽脂瘤合併硬腦膜後頸皮膚瘻管－病例報告
摘要
膽脂瘤造成頸部併發症頗為罕見，文獻上僅有幾篇記載提及。其中造成硬腦膜及後頸部皮膚瘻管之併發症更是罕見，文獻上有1例記載。本院於2年半前曾診治一病患，主訴右後頸部有一持續性流膿腫塊，經他院診斷為項部膿瘻（carbuncle），由一般外科醫師實行多次切開引流手術及抗生素治療均無效。後經本科會診及放射學診斷為慢性中耳炎合併膽脂瘤併發後頸部膿瘍及瘻管。病患接受修飾性乳突切除及瘻管切除手術，術中發合併有硬腦膜及後頸部皮膚瘻管。術後以抗生素治療2週完全康復，追蹤迄今無復發現象。
關鍵字
無資料並列摘要
Cervical complications induced by cholesteatoma are very rare. This paper reported a case of aural cholesteatoma complicated with a duro-cuta-neous fistula and Bezold’s abscess presenting as an abscess over the right posterior neck region. This case was initially diagnosed as a cervical carbon-cle for more than 7 months. No report of such a case has been found in a review of the literature. For patients who suffer form a long-term, recurring nuchal carbuncle or abscess, the possibility of cervical complications caused by an aural cholesteatoma should be considered.
延伸閱讀
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