tailieunhanh - Báo cáo y học: " Management of deep neck infection by a transnasal approach: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Management of deep neck infection by a transnasal approach: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Management of deep neck infection by a transnasal approach a case report Yuh Baba1 2 3 Yasumasa Kato4 Hideyuki Saito3 and Kaoru Ogawa3 Addresses Department of Otorhinolaryngology Tochigi National Hospital 1-10-37 Nakatomatsuri Utsunomiya Tochigi 320-8580 Japan 2Department of Otorhinolaryngology Otsuka Hospital Tokyo 152-8902 Japan 3Department of Otorhinolaryngology Head and Neck Surgery Keio University 35 Shinanomachi Shinjuku Tokyo 160-0082 Japan 4Department of Biochemistry Molecular Biology Kanagawa Dental College Yokosuka 238-8580 Japan Email YB - yuh_baba@ Corresponding author Received 10 August 2008 Accepted 2 February 2009 Published 31 July 2009 Journal of Medical Case Reports 2009 3 7317 doi 1752-1947-3-7317 This article is available from http jmedicalcasereports article view 7317 2009 Baba et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Deep neck infection is a life-threatening condition and intravenous antibiotic therapy is preferable in the early stages of the disease. However in the advanced stages surgical drainage should be performed. Although several surgical treatment strategies are available it is necessary to standardize treatment according to the patient s general condition and history. Case presentation We report the case of a 68-year-old man with a deep neck abscess and with severe diabetes mellitus and inflammation. Computed tomography identified a deep neck infection extending from the level of the epipharynx to that of the hyoid bone. We performed surgical drainage by transnasal endoscopy. The patient exhibited no evidence of either recurrent disease or post-surgical .